Elizabeth Asibey
Individual provider Active NPI Pharmacist · Atlanta, GA
NPI 1710694310 · NPPES record last updated Nov 2, 2022
Key facts
- NPI
- 1710694310
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 033993 (GA)
- Practice address
- 2014 Powers Ferry Rd NW
Atlanta, GA 30339 - Phone
- (770) 612-0958
- NPI assigned
- Nov 2, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 033993 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia CVS Pharmacy, L.L.C. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 033993 | GA | Yes |
Addresses
Primary practice location
2014 Powers Ferry Rd NW
Atlanta, GA 30339
Mailing address
2014 Powers Ferry Rd NW
Atlanta, GA 30339
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.