Active NPI
Carlos M Zimmerman
- Pharmacist
- Rome, GA
National Provider Identifier
1740790229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH022845
- Practice address
- 501 E 2ND Ave
Rome, GA 30161-3249 - Phone
- (706) 622-2063
- Fax
- (706) 622-2752
- NPI assigned
- Oct 10, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH022845 | GA | Primary |
Addresses
Primary practice location
501 E 2ND Ave
Rome, GA 30161-3249
Mailing address
15 Teaberry TRL
Dallas, GA 30132-1153
Phone (770) 334-5714
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 |
|---|---|---|---|
| RPH022845 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RX Choice LLC | Current | Accepting new patients | |
| RX Choice II LLC | Current | Accepting new patients |
Locations
501 E 2nd Ave
Rome, GA 30161
Phone (706) 622-2063
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.
-
- Pharmacy
- Summerville, GA
- NPI 1306370556
-
- Community/Retail Pharmacy
- Rome, GA
- NPI 1356620140
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507593600000",
"number": "1740790229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 TEABERRY TRL",
"city": "DALLAS",
"state": "GA",
"postal_code": "301321153",
"telephone_number": "770-334-5714",
"fax_number": "706-622-2752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 E 2ND AVE",
"city": "ROME",
"state": "GA",
"postal_code": "301613249",
"telephone_number": "706-622-2063",
"fax_number": "706-622-2752"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIMMERMAN",
"first_name": "CARLOS",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-10-10",
"last_updated": "2017-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH022845",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rome, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.