Active NPI
Gaurav Shekhawat, PHARMACIST
- Pharmacist
- East Point, GA
National Provider Identifier
1639477474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH025134
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RPH025134 | Other | GA | PHARMACIST |
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
| License | State | Type | Specialty |
|---|---|---|---|
| RPH025134 | GA | MD | Pharmacist |
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.