Active NPI
Gilletta H. Gray, R.PH.
- Pharmacist
- Smyrna, GA
National Provider Identifier
1629248331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 016658
- Practice address
- 2731 Vinings Oak Dr SE
Smyrna, GA 30080-7086 - Phone
- (404) 603-5444
- Fax
- (404) 603-9605
- NPI assigned
- Mar 10, 2008
- 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 | 016658 | GA | Primary |
Addresses
Primary practice location
2731 Vinings Oak Dr SE
Smyrna, GA 30080-7086
Mailing address
2731 Vinings Oak Dr SE
Smyrna, GA 30080-7086
Phone (404) 603-5444
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016658 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205107200000",
"number": "1629248331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2731 VININGS OAK DR SE",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300807086",
"telephone_number": "404-603-5444",
"fax_number": "404-603-9605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2731 VININGS OAK DR SE",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300807086",
"telephone_number": "404-603-5444",
"fax_number": "404-603-9605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "GILLETTA",
"middle_name": "H.",
"name_prefix": "Mrs.",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-10",
"last_updated": "2008-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "016658",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Smyrna, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.