Active NPI
Sonal Jivan, PHARM D.
- Pharmacist
- Cumming, GA
National Provider Identifier
1659974236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH023634
- Practice address
- 450 Peachtree Pkwy
Cumming, GA 30041-6818 - Phone
- (770) 889-1301
- Fax
- (770) 889-5114
- NPI assigned
- Nov 17, 2020
- Last updated
- Nov 17, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH023634 | GA | Primary |
Addresses
Primary practice location
450 Peachtree Pkwy
Cumming, GA 30041-6818
Mailing address
450 Peachtree Pkwy
Cumming, GA 30041-6818
Phone (770) 889-1301
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Sonal.Jivan@CVSHealth.com |
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 |
|---|---|---|---|
| RPH023634 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia CVS Pharmacy, L.L.C. | Past | Accepting new patients | |
| Georgia CVS Pharmacy L.L.C | Past | Accepting new patients |
Interoperability endpoints
- sonal.jivan@cvshealth.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605571200000",
"number": "1659974236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 PEACHTREE PKWY",
"city": "CUMMING",
"state": "GA",
"postal_code": "300416818",
"telephone_number": "770-889-1301",
"fax_number": "770-889-5114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 PEACHTREE PKWY",
"city": "CUMMING",
"state": "GA",
"postal_code": "300416818",
"telephone_number": "770-889-1301",
"fax_number": "770-889-5114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JIVAN",
"first_name": "SONAL",
"credential": "PHARM D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-17",
"last_updated": "2020-11-17",
"certification_date": "2020-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH023634",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Sonal.Jivan@CVSHealth.com",
"affiliation": "N",
"address_1": "450 Peachtree Pkwy",
"city": "Cumming",
"state": "GA",
"country_code": "US",
"postal_code": "300416818",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Cumming, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.