Active NPI
Shilesh J Sutaria
- Pharmacist
- Sandy Springs, GA
National Provider Identifier
1679847677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH
- Practice address
- 199 Hilderbrand Dr NE
Sandy Springs, GA 30328-3855 - Phone
- (404) 781-1800
- Fax
- (404) 781-1807
- NPI assigned
- Mar 8, 2012
- Last updated
- Mar 8, 2012
- Sex
- Male
- 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 | RPH | GA | Primary |
Addresses
Primary practice location
199 Hilderbrand Dr NE
Sandy Springs, GA 30328-3855
Mailing address
11300 Musette Cir
Alpharetta, GA 30009-8623
Phone (609) 234-8407
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 |
|---|---|---|---|
| RPH | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331164800000",
"number": "1679847677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11300 MUSETTE CIR",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300098623",
"telephone_number": "609-234-8407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "199 HILDERBRAND DR NE",
"city": "SANDY SPRINGS",
"state": "GA",
"postal_code": "303283855",
"telephone_number": "404-781-1800",
"fax_number": "404-781-1807"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUTARIA",
"first_name": "SHILESH",
"middle_name": "J",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-03-08",
"last_updated": "2012-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sandy Springs, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.