Active NPI
Emmanuel I Fariyike
- Pharmacist
- Atlanta, GA
National Provider Identifier
1538453345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 020039
- Practice address
- 520 Boulevard SE
Atlanta, GA 30312-3428 - Phone
- (404) 624-0022
- Fax
- (404) 627-0309
- NPI assigned
- Jun 9, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 020039 | GA | Primary |
Addresses
Primary practice location
520 Boulevard SE
Atlanta, GA 30312-3428
Mailing address
1351 Echo Mill CT
Powder Springs, GA 30127-4984
Phone (678) 457-7989
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020039 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307577600000",
"number": "1538453345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1351 ECHO MILL CT",
"city": "POWDER SPRINGS",
"state": "GA",
"postal_code": "301274984",
"telephone_number": "678-457-7989",
"fax_number": "678-567-2915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 BOULEVARD SE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303123428",
"telephone_number": "404-624-0022",
"fax_number": "404-627-0309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARIYIKE",
"first_name": "EMMANUEL",
"middle_name": "I",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-09",
"last_updated": "2011-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "020039",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.