Organization Active NPI

Wholistic MTM, Inc.

  • Pharmacist
  • Alpharetta, GA
National Provider Identifier
1629697453
Registry record updated Apr 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
Legal business name
WHOLISTIC MTM, INC.
Practice address
806 Ashley LN
Alpharetta, GA 30022-6143
Phone
(470) 353-0019
NPI assigned
Apr 12, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2020

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

Authorized official

Name
Sewalem Mebrate, PHARMDNPI 1053002246
Title
Pharmacist
Phone
(901) 517-2867

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X Primary

Addresses

Primary practice location

806 Ashley LN
Alpharetta, GA 30022-6143

Mailing address

806 Ashley LN
Alpharetta, GA 30022-6143
Phone (470) 353-0019

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1586649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586649600000",
    "number": "1629697453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 ASHLEY LN",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300226143",
            "telephone_number": "470-353-0019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 ASHLEY LN",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300226143",
            "telephone_number": "470-353-0019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLISTIC MTM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-12",
        "last_updated": "2020-04-12",
        "certification_date": "2020-04-12",
        "status": "A",
        "authorized_official_last_name": "MEBRATE",
        "authorized_official_first_name": "SEWALEM",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "901-517-2867",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2020; 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.