Carl D Parker, PHARMACIST

Primary specialty

PharmacistTaxonomy code 183500000X

License

10336 Issued in GA

Practice address

1079 Jesse Jewell Pkwy SW
Gainesville, GA 30501-6103

Phone

(770) 536-3108

Fax

(770) 536-2357

NPI assigned

Mar 20, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mimbs Drug Co.

  • Pharmacy
  • Gainesville, GA
  • NPI 1700863347
  NPD (past)

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801911607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4241 LAWTON DR",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305064664",
            "telephone_number": "770-538-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1079 JESSE JEWELL PKWY SW",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305016103",
            "telephone_number": "770-536-3108",
            "fax_number": "770-536-2357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "CARL",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "10336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nirav Parikh
• David William Park, MD
• James Park, DMD
• Junhwan Park, OD
• Brittany Lorraine-Smith Parker, MD
• Katrina Marie Natale Parker, AGACNP
• Lori A. Parker, DO
• Martha Jennifer Parker, NURSE PRACTITIONER
• Erica Francesca Lari Parks, PHD, PA-C
• James Frederick Parks, MD

• Pharmacist in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.