Individual provider Active NPI

Gabriel Aligwekwe, PHARMD

  • Pharmacist
  • Tucker, GA
National Provider Identifier
1497299507
Registry record updated Dec 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH029583 Issued in GA
Practice address
4404 Hugh Howell Rd Ste 17
Tucker, GA 30084-4916
Phone
(470) 508-0555
NPI assigned
Dec 7, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH029583 GA Primary

Addresses

Primary practice location

4404 Hugh Howell Rd Ste 17
Tucker, GA 30084-4916

Mailing address

913 Autumn Path Way
Snellville, GA 30078-7752
Phone (678) 596-3761

Other practice location 1

913 Autumn Path Way
Snellville, GA 30078-7752
Phone (678) 596-3761

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
RPH029583GAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Pharmacy and Wellness LLC CurrentSince Jan 5, 2020 Accepting new patients
Silverpath Healthcare Solutions, LLC Past Accepting new patients

Locations

4404 Hugh Howell Rd
Ste 17
Tucker, GA 30084
Phone (470) 508-0555

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1481068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577750400000",
    "number": "1497299507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 AUTUMN PATH WAY",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300787752",
            "telephone_number": "678-596-3761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4404 HUGH HOWELL RD STE 17",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844916",
            "telephone_number": "470-508-0555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "913 Autumn Path Way",
            "address_purpose": "LOCATION",
            "city": "Snellville",
            "state": "GA",
            "postal_code": "300787752",
            "country_code": "US",
            "telephone_number": "678-596-3761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALIGWEKWE",
        "first_name": "GABRIEL",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-12-07",
        "last_updated": "2019-12-31",
        "certification_date": "2019-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH029583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucker, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.