Active NPI
Lynn La
- Pharmacist
- Tucker, GA
National Provider Identifier
1770186819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH018237
- Practice address
- 4317 Chamblee Tucker Rd
Tucker, GA 30084-2106 - Phone
- (770) 938-6146
- NPI assigned
- Nov 20, 2020
- 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 | RPH018237 | GA | Primary |
Addresses
Primary practice location
4317 Chamblee Tucker Rd
Tucker, GA 30084-2106
Mailing address
2389 Calistoga CT
Lawrenceville, GA 30043-3458
Phone (470) 259-8703
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 |
|---|---|---|---|
| RPH018237 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia CVS Pharmacy L.L.C | Past | Accepting new patients |
Organizations & group practices 1
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": "1605830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605830400000",
"number": "1770186819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2389 CALISTOGA CT",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300433458",
"telephone_number": "470-259-8703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4317 CHAMBLEE TUCKER RD",
"city": "TUCKER",
"state": "GA",
"postal_code": "300842106",
"telephone_number": "770-938-6146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LA",
"first_name": "LYNN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-20",
"last_updated": "2020-11-20",
"certification_date": "2020-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH018237",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucker, GA
- Binu James Kunjummen, M.D.
- Neha Kurpad
- Kyle a Jones OD Inc (georgia eye center)
- Lindan Kyle, BSW,CMC,QMRP
- L&R Imaging Inc.
- Maelynn La, MD
- Laboratory Corporation of America Holdings
- Lafayette Medical and Alternative Health (Lafayette Medical & Alternative Health)
- Shondria Alexis Laguerre
- Karishma Lakhani, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.