Roselyn Funmi Banjo

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH032575 Issued in GA

Practice address

28 Harmony Creek LN
Hiram, GA 30141-2609

Phone

(470) 331-3951

NPI assigned

Mar 12, 2021

Last updated

Mar 12, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1615507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615507200000",
    "number": "1760067615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2909 AUSTELL RD SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300086845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 HARMONY CREEK LN",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "301412609",
            "telephone_number": "470-331-3951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28 Harmony Creek Ln",
            "address_purpose": "LOCATION",
            "city": "Hiram",
            "state": "GA",
            "postal_code": "301412609",
            "country_code": "US",
            "telephone_number": "470-331-3951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANJO",
        "first_name": "ROSELYN",
        "middle_name": "FUNMI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-12",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH032575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anais Maria Avery
• Andre T Ayers, NMTCB
• Sylvester Ayewoh, OD
• Azita Bahrami, DMD
• Crystal Keyonnica Bailey, APRN-NP
• Tambria A Banks
• Tresha Danyele Banks, NP
• Kristen Barfield
• Byron T Barnes, NMTCB
• Andrea Battaglia, LSCW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; 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.