Active NPI
Dustin A Comstock
- Pharmacist
- Atlanta, GA
National Provider Identifier
1861935199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH029560
- Practice address
- 3964 N Peachtree Rd
Atlanta, GA 30341-1606 - Phone
- (404) 237-2194
- NPI assigned
- Nov 18, 2016
- 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 | RPH029560 | GA | Primary |
Addresses
Primary practice location
3964 N Peachtree Rd
Atlanta, GA 30341-1606
Mailing address
968 Marbury CT SW
Marietta, GA 30064-2989
Phone (678) 333-1206
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 |
|---|---|---|---|
| RPH029560 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479427200000",
"number": "1861935199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "968 MARBURY CT SW",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300642989",
"telephone_number": "678-333-1206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3964 N PEACHTREE RD",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303411606",
"telephone_number": "404-237-2194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COMSTOCK",
"first_name": "DUSTIN",
"middle_name": "A",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-11-18",
"last_updated": "2016-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH029560",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.