NPIMap

Organization Active NPI

Hope Dispensary

  • Non-Pharmacy Dispensing Site
  • Stone Mountain, GA
National Provider Identifier
1831577329
Registry record updated Jun 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
HOPE DISPENSARY
Practice address
4958 Memorial Dr
Stone Mountain, GA 30083-4148
Phone
(404) 809-2486
NPI assigned
May 15, 2015
Last updated
Jun 2, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2016

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

Authorized official

Name
Dr. Tassew TesfayeNPI 1710974696
Title
MD
Phone
(404) 809-2480

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X NU Primary

Addresses

Primary practice location

4958 Memorial Dr
Stone Mountain, GA 30083-4148

Mailing address

4958 Memorial Dr
Stone Mountain, GA 30083-4148
Phone (404) 809-2486

National Provider Directory

National Provider Directory

Locations

4958 Memorial Dr
Stone Mtn, GA 30083
Phone (404) 809-2480

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1431648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464825600000",
    "number": "1831577329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4958 MEMORIAL DR",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300834148",
            "telephone_number": "404-809-2486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4958 MEMORIAL DR",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300834148",
            "telephone_number": "404-809-2486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE DISPENSARY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-15",
        "last_updated": "2016-06-02",
        "status": "A",
        "authorized_official_last_name": "TESFAYE",
        "authorized_official_first_name": "TASSEW",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "404-809-2480",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stone Mountain, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2016; 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.