Active NPI
Elvira Ebini
- Pharmacist
- Douglasville, GA
National Provider Identifier
1548776958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH030291
- Practice address
- 4692 Ridge Rd
Douglasville, GA 30134-6150 - Phone
- (770) 489-8699
- NPI assigned
- Dec 20, 2017
- Last updated
- Jun 16, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | RPH030291 | GA | Primary |
Addresses
Primary practice location
4692 Ridge Rd
Douglasville, GA 30134-6150
Mailing address
1317 Walton LN SE
Smyrna, GA 30082-3875
Phone (404) 702-2719
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 |
|---|---|---|---|
| RPH030291 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1548776958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1317 WALTON LN SE",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300823875",
"telephone_number": "404-702-2719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4692 RIDGE RD",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301346150",
"telephone_number": "770-489-8699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EBINI",
"first_name": "ELVIRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-12-20",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH030291",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Douglasville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.