Active NPI
Francis K Ennin
- Pharmacist
- Austell, GA
National Provider Identifier
1679842355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 020181
- Practice address
- 947 Peel Castle LN
Austell, GA 30106-1467 - Phone
- (404) 931-6117
- NPI assigned
- Dec 23, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 020181 | GA | Primary |
| Pharmacist | 183500000X | 5302031718 | MI |
Addresses
Primary practice location
947 Peel Castle LN
Austell, GA 30106-1467
Mailing address
947 Peel Castle LN
Austell, GA 30106-1467
Phone (404) 931-6117
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 |
|---|---|---|---|
| 020181 | GA | MD | Pharmacist |
| 5302031718 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324598400000",
"number": "1679842355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "947 PEEL CASTLE LN",
"city": "AUSTELL",
"state": "GA",
"postal_code": "301061467",
"telephone_number": "404-931-6117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "947 PEEL CASTLE LN",
"city": "AUSTELL",
"state": "GA",
"postal_code": "301061467",
"telephone_number": "404-931-6117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENNIN",
"first_name": "FRANCIS",
"middle_name": "K",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-12-23",
"last_updated": "2011-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "020181",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302031718",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.