Randel Elliott Logue Jr., PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH023138 Issued in GA

Practice address

164 W Wieuca Rd NE
Atlanta, GA 30342-3231

Phone

(404) 255-3022

Fax

(404) 843-3707

NPI assigned

Jul 21, 2006

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

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720009400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 W WIEUCA RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303423231",
            "telephone_number": "404-255-3022",
            "fax_number": "404-843-3707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 W WIEUCA RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303423231",
            "telephone_number": "404-255-3022",
            "fax_number": "404-843-3707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGUE",
        "first_name": "RANDEL",
        "middle_name": "ELLIOTT",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH023138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rashid Omari Logan
• Zachary Logan
• Mary Small Loggins, P.A.-C, M.S.
• Taylor Nicole Loggins, LMSW
• Carrie Klinger Logue, D.M.D.
• Amanda Sage Loh, MD
• Sheela Lohiya, M.D.
• Chad Irvin Lohman, PH.D.
• Eric Alexander Lohman, LCSW
• Christina Lohmann, M.D.

• Pharmacist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.