Active NPI
Pamela K Platt, RPH
- Pharmacist
- Douglasville, GA
National Provider Identifier
1861737314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- GA015757
- Practice address
- 4815 Ridge Rd
Douglasville, GA 30134-6142 - Phone
- (770) 949-2661
- NPI assigned
- Dec 10, 2012
- 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 | GA015757 | GA | Primary |
Addresses
Primary practice location
4815 Ridge Rd
Douglasville, GA 30134-6142
Mailing address
4815 Ridge Rd
Douglasville, GA 30134-6142
Phone (770) 949-2661
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| GA015757 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Kroger Co | Past | Accepting new patients | |
| 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355097600000",
"number": "1861737314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4815 RIDGE RD",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301346142",
"telephone_number": "770-949-2661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4815 RIDGE RD",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301346142",
"telephone_number": "770-949-2661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLATT",
"first_name": "PAMELA",
"middle_name": "K",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-10",
"last_updated": "2012-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "GA015757",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Douglasville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.