Individual provider Active NPI

Carlos M Zimmerman

  • Pharmacist
  • Rome, GA
National Provider Identifier
1740790229
Registry record updated Oct 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH022845 Issued in GA
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

Updated by the provider on Oct 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
RPH022845GAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.