Active NPI
Roopal Namit Mehta
- Pharmacist
- Marietta, GA
National Provider Identifier
1750688149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH022497
- Practice address
- 3033 Johnson Ferry Rd
Marietta, GA 30062-5678 - Phone
- (770) 518-4263
- Fax
- (770) 518-6809
- NPI assigned
- Feb 21, 2011
- Sex
- Female
- 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 | RPH022497 | GA | Primary |
Addresses
Primary practice location
3033 Johnson Ferry Rd
Marietta, GA 30062-5678
Mailing address
624 Vickery Way NE
Marietta, GA 30066-4815
Phone (404) 663-1416
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 |
|---|---|---|---|
| RPH022497 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672012800000",
"number": "1750688149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "624 VICKERY WAY NE",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300664815",
"telephone_number": "404-663-1416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3033 JOHNSON FERRY RD",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300625678",
"telephone_number": "770-518-4263",
"fax_number": "770-518-6809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEHTA",
"first_name": "ROOPAL",
"middle_name": "NAMIT",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-02-21",
"last_updated": "2022-12-26",
"certification_date": "2022-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH022497",
"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 Dec 26, 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.