Active NPI
Badrinath Jayanthi
- Pharmacist
- Duluth, GA
National Provider Identifier
1831480904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH022409
- Practice address
- 3610 Peachtree Industrial Blvd
Duluth, GA 30096-4843 - Phone
- (678) 462-6766
- NPI assigned
- Apr 25, 2011
- Last updated
- Apr 25, 2011
- Sex
- Male
- 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 | RPH022409 | GA | Primary |
Addresses
Primary practice location
3610 Peachtree Industrial Blvd
Duluth, GA 30096-4843
Mailing address
745 Vinca CT
Alpharetta, GA 30005-8763
Phone (678) 254-9200
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 |
|---|---|---|---|
| RPH022409 | GA | MD | Pharmacist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303689600000",
"number": "1831480904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "745 VINCA CT",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300058763",
"telephone_number": "678-254-9200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3610 PEACHTREE INDUSTRIAL BLVD",
"city": "DULUTH",
"state": "GA",
"postal_code": "300964843",
"telephone_number": "678-462-6766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAYANTHI",
"first_name": "BADRINATH",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-25",
"last_updated": "2011-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH022409",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Duluth, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.