Tracy Nenneh Togba-Bass, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH034063 Issued in GA

Practice address

1099 Johnson Ferry Rd
Marietta, GA 30068-2109

Phone

(770) 973-1810

NPI assigned

Nov 22, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Tracy Nenneh Togba Former name

Electronic endpoints 2

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": "1669075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1740999200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1099 JOHNSON FERRY RD",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300682109",
            "telephone_number": "770-973-1810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1099 JOHNSON FERRY RD",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300682109",
            "telephone_number": "770-973-1810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOGBA-BASS",
        "first_name": "TRACY",
        "middle_name": "NENNEH",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-22",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "GA",
            "license": "RPH034063",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH034063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "1205939964",
            "affiliation": "Y",
            "affiliationName": "GEORGIA CVS PHARMACY LLC",
            "address_1": "1099 Johnson Ferry Rd",
            "city": "Marietta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300682109",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "1205939964",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "1205939964",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "NPI",
            "address_1": "1099 Johnson Ferry Rd",
            "city": "Marietta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300682109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "TOGBA",
            "middle_name": "NENNEH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; 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.