Active NPI
Pashuen M Cobb, PHARMD
- Pharmacist
- Ellenwood, GA
National Provider Identifier
1639473283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH021922
- Practice address
- 3436 Sugar Creek CV
Ellenwood, GA 30294-1084 - Phone
- (404) 822-2550
- NPI assigned
- Dec 22, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH021922 | GA | Primary |
| Pharmacist | 183500000X | PS 38274 | FL |
Addresses
Primary practice location
3436 Sugar Creek CV
Ellenwood, GA 30294-1084
Mailing address
3436 Sugar Creek CV
Ellenwood, GA 30294-1084
Phone (404) 822-2550
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 |
|---|---|---|---|
| PS 38274 | FL | MD | Pharmacist |
| RPH021922 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292976000000",
"number": "1639473283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3436 SUGAR CREEK CV",
"city": "ELLENWOOD",
"state": "GA",
"postal_code": "302941084",
"telephone_number": "404-822-2550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3436 SUGAR CREEK CV",
"city": "ELLENWOOD",
"state": "GA",
"postal_code": "302941084",
"telephone_number": "404-822-2550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COBB",
"first_name": "PASHUEN",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-22",
"last_updated": "2010-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH021922",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS 38274",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ellenwood, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.