Revue Pharmacy

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

REVUE PHARMACY

Practice address

869 N Main St Ste 203
Alpharetta, GA 30009-8372

Phone

(470) 275-6795

Fax

(470) 275-4962

NPI assigned

Feb 28, 2019

Last updated

Feb 28, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gichuki Kimani, PHARM.D.NPI 1215494935

Title

Pharmacy Manager

Phone

(404) 512-0517

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ReVue Pharmacy Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gichuki Kimani, PHARM.D.

  • Pharmacist
  • Alpharetta, GA
  • NPI 1215494935
  NPD (past) Authorized official

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

{
    "created_epoch": "1551312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551312000000",
    "number": "1528525250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "869 N MAIN ST STE 203",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300098372",
            "telephone_number": "702-756-7954",
            "fax_number": "470-275-4962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "869 N MAIN ST STE 203",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300098372",
            "telephone_number": "470-275-6795",
            "fax_number": "470-275-4962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVUE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-28",
        "last_updated": "2019-02-28",
        "status": "A",
        "authorized_official_last_name": "KIMANI",
        "authorized_official_first_name": "GICHUKI",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "404-512-0517",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA BOARD OF PHARMACY",
            "identifier": "PHRE010712",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ReVue Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Pharmacy in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.