Active NPI
Smitha Gautam
- Pharmacist
- Gainesville, GA
National Provider Identifier
1831473651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH025558
- Practice address
- 599 S Enota Dr NE
Gainesville, GA 30501-2545 - Phone
- (770) 536-4361
- NPI assigned
- Sep 29, 2011
- 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 | RPH025558 | GA | Primary |
Addresses
Primary practice location
599 S Enota Dr NE
Gainesville, GA 30501-2545
Mailing address
2663 Winsley PL
Duluth, GA 30097-3471
Phone (812) 962-4277
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 |
|---|---|---|---|
| RPH025558 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317254400000",
"number": "1831473651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2663 WINSLEY PL",
"city": "DULUTH",
"state": "GA",
"postal_code": "300973471",
"telephone_number": "812-962-4277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "599 S ENOTA DR NE",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305012545",
"telephone_number": "770-536-4361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAUTAM",
"first_name": "SMITHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-29",
"last_updated": "2011-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH025558",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gainesville, GA
- Gastroenterology Anesthesia Associates, LLC
- Gastroenterology Associates of Gainesville, P. C.
- Gastroenterology Associates of Gainesville, P. C.
- Abhishek Gaur, MD
- Swati Gaur, M.D.
- Joseph Gauthier, PT
- Brian P Gay, M.D.
- Sonthonax Gay, PHYSICIAN ASSISTANT
- Kimberly Beth Gazboda, PHARM.D., R.P.H.
- Adeyemi Olumayowa Gbogboade, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.