Active NPI
Ifeoma Judith Amasiani
- Pharmacist
- Forest Park, GA
National Provider Identifier
1689279507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 031907
- Practice address
- 1029 Forest Pkwy
Forest Park, GA 30297-2350 - Phone
- (404) 608-0751
- NPI assigned
- Nov 30, 2020
- Last updated
- Nov 30, 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 | 031907 | GA | Primary |
Addresses
Primary practice location
1029 Forest Pkwy
Forest Park, GA 30297-2350
Mailing address
1029 Forest Pkwy
Forest Park, GA 30297-2350
Phone (404) 608-0751
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 |
|---|---|---|---|
| 031907 | 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 |
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": "1606694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606694400000",
"number": "1689279507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1029 FOREST PKWY",
"city": "FOREST PARK",
"state": "GA",
"postal_code": "302972350",
"telephone_number": "404-608-0751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1029 FOREST PKWY",
"city": "FOREST PARK",
"state": "GA",
"postal_code": "302972350",
"telephone_number": "404-608-0751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMASIANI",
"first_name": "IFEOMA",
"middle_name": "JUDITH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-30",
"last_updated": "2020-11-30",
"certification_date": "2020-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "031907",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Forest Park, GA
- Advance Primry Care LLC
- Agathos Place, Inc.
- Olutoyin Agbelemose, DDS
- Ahmed Family Practice LLC
- David Alquicira
- Americ Transit Services, LLC
- American Foot & Leg Specialists, P.C. (Ambulatory Laser & Surgery Center)
- American Foot & Leg Specialists, P.C.
- Faith Adonis Andrews, MD
- Angels Recovery and Spirituality
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.