Individual provider Active NPI

Talli Pratico, PHARMD

  • Pharmacist
  • Atlanta, GA
National Provider Identifier
1780966440
Registry record updated Sep 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH024153 Issued in GA
Practice address
595 Piedmont Ave NE Ste 100
Atlanta, GA 30308-2480
Phone
(404) 685-9665
Fax
(404) 347-9564
NPI assigned
Sep 19, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH024153 GA Primary
Pharmacist 183500000X 5302036903 MI
Pharmacist 183500000X 26022461A IN

Addresses

Primary practice location

595 Piedmont Ave NE Ste 100
Atlanta, GA 30308-2480

Mailing address

595 Piedmont Ave NE Ste 100
Atlanta, GA 30308-2480
Phone (404) 685-9665

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
RPH024153GAMDPharmacist
26022461AINMDPharmacist
5302036903MIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1316390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316390400000",
    "number": "1780966440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 PIEDMONT AVE NE STE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082480",
            "telephone_number": "404-685-9665",
            "fax_number": "404-347-9564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 PIEDMONT AVE NE STE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082480",
            "telephone_number": "404-685-9665",
            "fax_number": "404-347-9564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATICO",
        "first_name": "TALLI",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-19",
        "last_updated": "2011-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH024153",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302036903",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26022461A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2011; 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.