Active NPI
Mansural Choudhury, PHARM.D
- Pharmacist
- Suwanee, GA
National Provider Identifier
1639450695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH020824
- Practice address
- 1090 Peachtree Industrial Blvd
Suwanee, GA 30024-1920 - Phone
- (678) 546-0893
- Fax
- (678) 546-0993
- NPI assigned
- Sep 5, 2011
- 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 | RPH020824 | GA | Primary |
Addresses
Primary practice location
1090 Peachtree Industrial Blvd
Suwanee, GA 30024-1920
Mailing address
1090 Peachtree Industrial Blvd
Suwanee, GA 30024-1920
Phone (678) 546-0893
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 |
|---|---|---|---|
| RPH020824 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315180800000",
"number": "1639450695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1090 PEACHTREE INDUSTRIAL BLVD",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300241920",
"telephone_number": "678-546-0893",
"fax_number": "678-546-0993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1090 PEACHTREE INDUSTRIAL BLVD",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300241920",
"telephone_number": "678-546-0893",
"fax_number": "678-546-0993"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOUDHURY",
"first_name": "MANSURAL",
"credential": "PHARM.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-09-05",
"last_updated": "2011-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH020824",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Suwanee, GA
- Andrew Choi, PHARM.D
- Greg Kyuhee Choi, D.C.
- Ye Ryung Choi, RN
- Kyonghun Chong, PHYSICAL THERAPIST
- Himanshi Chopra, MD
- Tarang Choxi, D.M.D
- Madeline Diane Chrestman, LCSW
- Chris Marvel LLC
- Christian Counseling and Psychological Services
- Christian Counseling and Psychological Services, Inc (Atlanta Forensic & Mental Health Institute)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.