Active NPI
Daksha Desai, BPHARM
- Pharmacist
- Marietta, GA
National Provider Identifier
1700053626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 016216
- Practice address
- 1122 Powers Ferry Rd SE
Marietta, GA 30067-5753 - Phone
- (770) 955-3474
- Fax
- (770) 933-8414
- NPI assigned
- May 9, 2008
- 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 | 016216 | GA | Primary |
| Pharmacist | 183500000X | 25534 | TX |
Addresses
Primary practice location
1122 Powers Ferry Rd SE
Marietta, GA 30067-5753
Mailing address
1122 Powers Ferry Rd. SE
Marietta, GA 30067-4287
Phone (770) 955-3474
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 |
|---|---|---|---|
| 016216 | GA | MD | Pharmacist |
| 25534 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Kroger Co | Past | Accepting new patients | |
| Kroger Co | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369353600000",
"number": "1700053626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1122 POWERS FERRY RD. SE",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300674287",
"telephone_number": "770-955-3474",
"fax_number": "770-933-8414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1122 POWERS FERRY RD SE",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300675753",
"telephone_number": "770-955-3474",
"fax_number": "770-933-8414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESAI",
"first_name": "DAKSHA",
"name_prefix": "Ms.",
"credential": "BPHARM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-09",
"last_updated": "2013-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "016216",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "25534",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marietta, GA
- Denward Healthy Living Inc
- Damon Robert Denzin, PHYSICIAN ASSISTANT
- John Carmen Dercola, PA
- Dermatology and Surgery Specialists of North Atlanta PC
- Dermatopathology Lab of Skin Cancer Specialists, P.C.
- Hardi Desai
- Jay Desai
- Sheetal Desai, D.O.
- Benjamin W Deshetler, D.D.S.
- Designers Hair Studio & Hair Growth Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.