Active NPI
Gifty Odonkor
- Pharmacist
- Covington, GA
National Provider Identifier
1790357150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH032787
- Practice address
- 3188 Highway 278 NE
Covington, GA 30014-2300 - Phone
- (770) 784-8090
- NPI assigned
- Jul 14, 2021
- Sex
- Female
- Sole proprietor
- No
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 | RPH032787 | GA | Primary |
Addresses
Primary practice location
3188 Highway 278 NE
Covington, GA 30014-2300
Mailing address
2510 Emma Way
Lawrenceville, GA 30044-2720
Phone (678) 994-2087
Other practice location 1
12955 Brown Bridge Rd
Covington, GA 30016-2905
Phone (770) 385-3226
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 |
|---|---|---|---|
| RPH032787 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
3188 Highway 278 NE
Covington, GA 30014
Phone (770) 784-8090
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626220800000",
"number": "1790357150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2510 EMMA WAY",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300442720",
"telephone_number": "678-994-2087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3188 HIGHWAY 278 NE",
"city": "COVINGTON",
"state": "GA",
"postal_code": "300142300",
"telephone_number": "770-784-8090"
}
],
"practiceLocations": [
{
"address_1": "12955 Brown Bridge Rd",
"address_purpose": "LOCATION",
"city": "Covington",
"state": "GA",
"postal_code": "300162905",
"country_code": "US",
"telephone_number": "770-385-3226",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ODONKOR",
"first_name": "GIFTY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-14",
"last_updated": "2021-07-14",
"certification_date": "2021-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH032787",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Covington, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.