Active NPI
Andrei Hanceri
- Pharmacist
- Dacula, GA
National Provider Identifier
1558022863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH033483
- Practice address
- 505 Dacula Rd
Dacula, GA 30019-2125 - Phone
- (678) 407-5740
- NPI assigned
- Jan 8, 2022
- Sex
- Male
- 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 | RPH033483 | GA | Primary |
Addresses
Primary practice location
505 Dacula Rd
Dacula, GA 30019-2125
Mailing address
744 Alcovy Forest Dr
Lawrenceville, GA 30045-5187
Phone (404) 895-1958
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 |
|---|---|---|---|
| RPH033483 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641600000000",
"number": "1558022863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "744 ALCOVY FOREST DR",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300455187",
"telephone_number": "404-895-1958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 DACULA RD",
"city": "DACULA",
"state": "GA",
"postal_code": "300192125",
"telephone_number": "678-407-5740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANCERI",
"first_name": "ANDREI",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-01-08",
"last_updated": "2022-01-08",
"certification_date": "2022-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH033483",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dacula, GA
- Hamilton Mill Family Complete Care, LLC
- Hamilton Mill Medical & Physical Therapy
- Hamilton Mill Medical Services, Inc.
- Hamilton Mill Oral and Facial Surgery, LLC
- Steven Robert Hammond, N.P.
- Margaret Ndidi Hanney, CNA
- Harbins Dental Associates, LLC
- Harbins Healthcare Inc
- Kelly Virga Harless, FNP-C
- Ashleigh Harper, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.