Gautam Joshi

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH022957 Issued in GA

Practice address

827 N Hairston Rd Ste D
Stone Mountain, GA 30083-3441

Phone

(770) 755-5904

Fax

(770) 755-5971

NPI assigned

Jan 22, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Discount Pharmacy

  • Community/Retail Pharmacy
  • Stone Mountain, GA
  • NPI 1780953737
  NPD Authorized official
• Discount Pharmacy

  • Long Term Care Pharmacy
  • Stone Mountain, GA
  • NPI 1831944909
  NPD Authorized official

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

{
    "created_epoch": "1642809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642809600000",
    "number": "1710639596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 N HAIRSTON RD STE D",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833441",
            "telephone_number": "770-755-5904",
            "fax_number": "770-755-5971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 N HAIRSTON RD STE D",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833441",
            "telephone_number": "770-755-5904",
            "fax_number": "770-755-5971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSHI",
        "first_name": "GAUTAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-22",
        "last_updated": "2022-01-22",
        "certification_date": "2022-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH022957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chatice Jones, PHLEBOTOMIST
• Danielle Yvette Jones, MEDICAL ASSISTANT
• Laurie Jones, ND, MPH, LPC, NCC
• Shavon L Jones
• Treva G. Jones, LCSW, MAC
• Journeywell Non-Emergency Medical Transport
• K&M Intervention Services LLC
• Mahlayana Primrose Kalembo, PT
• Asata Kamara, NP
• Kiran Kamdar, BDS, MSD, PC

• Pharmacist in Stone Mountain, GA
• Providers in Stone Mountain, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2022; 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.