Anastasia Anugerah

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH029335 Issued in GA

Practice address

2774 N Cobb Pkwy Ste 201
Kennesaw, GA 30152-3469

Phone

(770) 426-3246

NPI assigned

Aug 25, 2016

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 25, 2016.

{
    "created_epoch": "1472083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472083200000",
    "number": "1720533227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2774 N COBB PKWY STE 201",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301523469",
            "telephone_number": "770-426-3246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2774 N COBB PKWY STE 201",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301523469",
            "telephone_number": "770-426-3246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANUGERAH",
        "first_name": "ANASTASIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-25",
        "last_updated": "2016-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH029335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Russell G. Anderson Jr., D.M.D.
• Philomene Andre I
• Marian Roberts Andrews, LCSW
• Seychelle Violet Andronico, MA, LMFT
• Telita Anthony, CSA
• Appleseeds Learning Center, Inc.
• Olawande Arasi, PHARMD
• Allison Paige Arbelaez, LCSW
• Renee Arbogast, L.P.C.
• Arch Way Housing Program, Inc.

• All providers in Kennesaw, GA
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2016; 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.