Elias Makonnen, PHARMACIST

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH034100 Issued in GA

Practice address

668 Main St
Thomson, GA 30824-7416

Phone

(706) 595-1667

NPI assigned

Jan 30, 2023

Last updated

Jan 30, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Walgreen Co

  dba Walgreens #11995

  • Pharmacy
  • Thomson, GA
  • NPI 1386804896
  NPD
• Walgreen Co

  dba Walgreens #21605

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1497461735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 DANBURY DR",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300931419",
            "telephone_number": "404-380-0253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "668 MAIN ST",
            "city": "THOMSON",
            "state": "GA",
            "postal_code": "308247416",
            "telephone_number": "706-595-1667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKONNEN",
        "first_name": "ELIAS",
        "credential": "PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "DC",
            "license": "PH200004513",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH034100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wesley Daniel Lockhart
• Deborah Ann Lollar, LCMT
• Summer Ann Loveless-Barnes, RBT
• M. Frank Powell, MD, PC
• Holly Barmore Mahoney, M.D.
• Nikitha Manem, MD
• Christina Michelle Marshall-Franklin, CMA,AAMA
• Digna Ivelith Martinez
• Master's Personal Care Home
• Jett Lavern McCullough, PHARMACIST

• Pharmacist in Thomson, GA
• Providers in Thomson, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; 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.