Active NPI
Cheryl N Mistry, PHARM.D, MBA
- Pharmacist
- Hampton, GA
National Provider Identifier
1831437227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH022747
- Practice address
- 11155 Tara Blvd
Hampton, GA 30228-1672 - Phone
- (770) 473-4779
- NPI assigned
- Jan 21, 2013
- 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 | RPH022747 | GA | Primary |
Addresses
Primary practice location
11155 Tara Blvd
Hampton, GA 30228-1672
Mailing address
603 Ivanhoe Close
McDonough, GA 30253-8792
Phone (404) 610-0025
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
- Master of Business Administration, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH022747 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358726400000",
"number": "1831437227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "603 IVANHOE CLOSE",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302538792",
"telephone_number": "404-610-0025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11155 TARA BLVD",
"city": "HAMPTON",
"state": "GA",
"postal_code": "302281672",
"telephone_number": "770-473-4779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MISTRY",
"first_name": "CHERYL",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "PHARM.D, MBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-21",
"last_updated": "2013-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH022747",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hampton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.