Active NPI
Harivansh Thakar
- Pharmacist
- Rome, GA
National Provider Identifier
1760868756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 028648
- Practice address
- 1201 Turner McCall Blvd SE
Rome, GA 30161-5278 - Phone
- (706) 232-5270
- NPI assigned
- Aug 3, 2015
- Last updated
- Aug 3, 2015
- Sex
- Male
- 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 | 028648 | GA | Primary |
Addresses
Primary practice location
1201 Turner McCall Blvd SE
Rome, GA 30161-5278
Mailing address
1000 Duluth Highway
Apt 2103
Lawrenceville, GA 30043-8809
Phone (678) 294-7868
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 |
|---|---|---|---|
| 028648 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia CVS Pharmacy L.L.C | Past | Accepting new patients | |
| Georgia CVS Pharmacy, L.L.C. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438560000000",
"number": "1760868756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 DULUTH HIGHWAY",
"address_2": "APT 2103",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300438809",
"telephone_number": "678-294-7868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 TURNER MCCALL BLVD SE",
"city": "ROME",
"state": "GA",
"postal_code": "301615278",
"telephone_number": "706-232-5270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THAKAR",
"first_name": "HARIVANSH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-08-03",
"last_updated": "2015-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "028648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rome, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.