NPIMap

Organization Active NPI

Clinical Consulting Services

  • Pharmacist
  • Powder Springs, GA
National Provider Identifier
1760682041
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PHI-012266 Issued in GA
Legal business name
CLINICAL CONSULTING SERVICES
Practice address
410 Crestworth Xing
Powder Springs, GA 30127-5739
Phone
(678) 516-1424
NPI assigned
Jul 24, 2007
Last updated
Jun 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Ms. Darra M Waller, BA, MA
Title
President
Phone
(678) 516-1424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PHI-012266 GA Primary

Addresses

Primary practice location

410 Crestworth Xing
Powder Springs, GA 30127-5739

Mailing address

410 Crestworth Xing
Powder Springs, GA 30127-5739
Phone (678) 516-1424

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1760682041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 CRESTWORTH XING",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301275739",
            "telephone_number": "678-516-1424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 CRESTWORTH XING",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301275739",
            "telephone_number": "678-516-1424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL CONSULTING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "WALLER",
        "authorized_official_first_name": "DARRA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-516-1424",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BA, MA"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "PHI-012266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Powder Springs, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.