Individual provider Active NPI

Gaurav Shekhawat, PHARMACIST

  • Pharmacist
  • East Point, GA
National Provider Identifier
1639477474
Registry record updated Mar 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH025134 Issued in GA
Practice address
3055 Washington Rd
East Point, GA 30344-4565
Phone
(404) 767-8789
NPI assigned
Mar 2, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH025134 GA Primary

Addresses

Primary practice location

3055 Washington Rd
East Point, GA 30344-4565

Mailing address

1117 Adams Lake Blvd SE
Atlanta, GA 30339-3385
Phone (862) 812-4666

Other identifiers 1

IdentifierTypeStateIssuer
RPH025134OtherGAPHARMACIST

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

State licenses

LicenseStateTypeSpecialty
RPH025134GAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1299024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299024000000",
    "number": "1639477474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 ADAMS LAKE BLVD SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303393385",
            "telephone_number": "862-812-4666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3055 WASHINGTON RD",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303444565",
            "telephone_number": "404-767-8789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEKHAWAT",
        "first_name": "GAURAV",
        "credential": "PHARMACIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-02",
        "last_updated": "2011-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH025134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST",
            "identifier": "RPH025134",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Point, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.

Verify at the official NPI Registry.