Individual provider Active NPI

Jimmy Gbemi

  • Pharmacist
  • McDonough, GA
National Provider Identifier
1689088064
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
023287 Issued in GA
Practice address
116 Windward HLS
McDonough, GA 30253-5991
Phone
(478) 278-8155
NPI assigned
Jun 13, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 023287 GA Primary

Addresses

Primary practice location

116 Windward HLS
McDonough, GA 30253-5991

Mailing address

1776 Panola Rd
Ellenwood, GA 30294-2856
Phone (770) 545-8555

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
023287GAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Josh Pharmacy CurrentSince Aug 17, 2025 Accepting new patients

Locations

1776 Panola Rd
Ellenwood, GA 30294
Phone (770) 545-8555

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1402617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1689088064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1776 PANOLA RD",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302942856",
            "telephone_number": "770-545-8555",
            "fax_number": "770-545-8556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 WINDWARD HLS",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302535991",
            "telephone_number": "478-278-8155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GBEMI",
        "first_name": "JIMMY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-13",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "023287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McDonough, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; 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.