Individual provider Active NPI

Sebrena Bartlett, R.PH., J.D.

  • Pharmacist
  • Dunwoody, GA
National Provider Identifier
1548629165
Registry record updated Oct 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH016269 Issued in GA
Practice address
5556 Chamblee Dunwoody Rd
Dunwoody, GA 30338-4111
Phone
(770) 394-8407
NPI assigned
Feb 11, 2016
Last updated
Oct 11, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH016269 GA Primary

Addresses

Primary practice location

5556 Chamblee Dunwoody Rd
Dunwoody, GA 30338-4111

Mailing address

5556 Chamblee Dunwoody Rd
Dunwoody, GA 30338-4111

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
Juris Doctor, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
RPH016269GAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1455148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476144000000",
    "number": "1548629165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5556 CHAMBLEE DUNWOODY RD",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303384111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5556 CHAMBLEE DUNWOODY RD",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303384111",
            "telephone_number": "770-394-8407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTLETT",
        "first_name": "SEBRENA",
        "credential": "R.PH., J.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-11",
        "last_updated": "2016-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH016269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunwoody, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; 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.