Fahzilla Pirmohamed, RPH
Individual provider Active NPI Pharmacist · Peachtree, GA
NPI 1497330674 · NPPES record last updated Mar 10, 2021
Key facts
- NPI
- 1497330674
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RPH017644 (GA)
- Practice address
- 1209 N. Peachtree Pkwy
Peachtree, GA 30269 - Phone
- (770) 282-2166
- Fax
- (678) 734-3840
- NPI assigned
- Mar 10, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH017644 | GA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH017644 | GA | Yes |
Addresses
Primary practice location
1209 N. Peachtree Pkwy
Peachtree, GA 30269
Mailing address
1209 N. Peachtree Pkwy
Peachtree, GA 30269
Phone (770) 282-2166
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 10, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.