Active NPI
Brent Ensley Coble, PHARMD
- Pharmacist
- Decatur, GA
National Provider Identifier
1568910651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH029481
- Practice address
- 3649 Flakes Mill Rd
Decatur, GA 30034-5218 - Phone
- (770) 322-2387
- NPI assigned
- Sep 16, 2016
- 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 | RPH029481 | GA | Primary |
Addresses
Primary practice location
3649 Flakes Mill Rd
Decatur, GA 30034-5218
Mailing address
2163 River Acres CT
Lithonia, GA 30058-5042
Phone (360) 420-6706
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH029481 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473984000000",
"number": "1568910651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2163 RIVER ACRES CT",
"city": "LITHONIA",
"state": "GA",
"postal_code": "300585042",
"telephone_number": "360-420-6706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3649 FLAKES MILL RD",
"city": "DECATUR",
"state": "GA",
"postal_code": "300345218",
"telephone_number": "770-322-2387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COBLE",
"first_name": "BRENT",
"middle_name": "ENSLEY",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-09-16",
"last_updated": "2016-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH029481",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.