Active NPI
Rejani Thekkedathu Rajan, PHARMD
- Pharmacist
- Atlanta, GA
National Provider Identifier
1699047308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH026335
- Practice address
- 891 Ponce de Leon Ave NE
Atlanta, GA 30306-4267 - Phone
- (404) 874-0640
- NPI assigned
- Jan 27, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH026335 | GA | Primary |
| Pharmacist | 183500000X | RP444093 | PA |
Addresses
Primary practice location
891 Ponce de Leon Ave NE
Atlanta, GA 30306-4267
Mailing address
220 26TH St NW
Apartment 8201
Atlanta, GA 30309-1914
Phone (215) 688-3019
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 |
|---|---|---|---|
| RPH026335 | GA | MD | Pharmacist |
| RP444093 | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327622400000",
"number": "1699047308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 26TH ST NW",
"address_2": "APARTMENT 8201",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303091914",
"telephone_number": "215-688-3019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "891 PONCE DE LEON AVE NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303064267",
"telephone_number": "404-874-0640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAJAN",
"first_name": "REJANI",
"middle_name": "THEKKEDATHU",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-27",
"last_updated": "2012-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH026335",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP444093",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.