Individual provider Active NPI

Dauda Kemoh Koroma

  • Pharmacist
  • Loganville, GA
National Provider Identifier
1699688671
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH036534 Issued in GA
Practice address
2935 Rosebud Rd Apt 412
Loganville, GA 30052-3070
Phone
(770) 339-2029
Fax
(770) 339-3375
NPI assigned
Sep 23, 2026
Last updated
Sep 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 183500000X RPH036534 GA Primary

Addresses

Primary practice location

2935 Rosebud Rd Apt 412
Loganville, GA 30052-3070

Mailing address

2935 Rosebud Rd Apt 412
Loganville, GA 30052-3070
Phone (770) 339-2029

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1699688671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2935 ROSEBUD RD APT 412",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300523070",
            "telephone_number": "770-339-2029",
            "fax_number": "770-339-3375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2935 ROSEBUD RD APT 412",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300523070",
            "telephone_number": "770-339-2029",
            "fax_number": "770-339-3375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOROMA",
        "first_name": "DAUDA",
        "middle_name": "KEMOH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-09-23",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH036534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loganville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.