Individual provider Active NPI

Dominic Maison

  • Pharmacist
  • Marietta, GA
National Provider Identifier
1740938810
Registry record updated Mar 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH031110 Issued in GA
Practice address
3405 Dallas Hwy SW
Marietta, GA 30064-6425
Phone
(404) 990-3499
NPI assigned
Mar 16, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH031110 GA Primary

Addresses

Primary practice location

3405 Dallas Hwy SW
Marietta, GA 30064-6425

Mailing address

3651 Monticello St
Douglasville, GA 30135-7721
Phone (678) 557-0922

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
RPH031110GAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Need for Care Pharmacy, LLC CurrentSince Mar 20, 2022 Accepting new patients

Locations

3405 Dallas Hwy SW
Marietta, GA 30064
Phone (404) 644-7731

Organizations & group practices 1

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": "1647388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647388800000",
    "number": "1740938810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3651 MONTICELLO ST",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301357721",
            "telephone_number": "678-557-0922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 DALLAS HWY SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300646425",
            "telephone_number": "404-990-3499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAISON",
        "first_name": "DOMINIC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-16",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH031110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; 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.