Active NPI
Elisa F Nolen
- Pharmacist
- Brookhaven, GA
National Provider Identifier
1861382830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH034640
- Practice address
- 3855 Buford Hwy NE
Brookhaven, GA 30329-1003 - Phone
- (404) 325-5292
- NPI assigned
- Jul 9, 2025
- 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 | RPH034640 | GA | Primary |
Addresses
Primary practice location
3855 Buford Hwy NE
Brookhaven, GA 30329-1003
Mailing address
11355 Gates Ter
Johns Creek, GA 30097-1520
Phone (678) 480-9513
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 |
|---|---|---|---|
| RPH034640 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kroger Co | Past | Accepting new patients | |
| The Kroger Co | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Retail Pharmacy
- Bethlehem, GA
- NPI 1154294205
-
- Community/Retail Pharmacy
- Brookhaven, GA
- NPI 1144254020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752019200000",
"number": "1861382830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11355 GATES TER",
"city": "JOHNS CREEK",
"state": "GA",
"postal_code": "300971520",
"telephone_number": "678-480-9513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3855 BUFORD HWY NE",
"city": "BROOKHAVEN",
"state": "GA",
"postal_code": "303291003",
"telephone_number": "404-325-5292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOLEN",
"first_name": "ELISA",
"middle_name": "F",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-09",
"last_updated": "2025-07-09",
"certification_date": "2025-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH034640",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brookhaven, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.