Individual provider Active NPI

Zach Shumoski

  • Critical Care Pharmacist
  • Marietta, GA
National Provider Identifier
1902252836
Registry record updated May 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care PharmacistTaxonomy code 1835C0205X
License
RPH028505 Issued in GA
Practice address
805 Franklin CT SE Ste a
Marietta, GA 30067-8942
Phone
(770) 420-3393
NPI assigned
May 10, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Pharmacist 1835C0205X RPH028505 GA Primary

Addresses

Primary practice location

805 Franklin CT SE Ste a
Marietta, GA 30067-8942

Mailing address

805 Franklin CT SE Ste a
Marietta, GA 30067-8942

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

LicenseStateTypeSpecialty
RPH028505GAMDCritical Care Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Infusion Services 209, Inc, Critical Care PastSince Oct 1, 2019 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1462838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462838400000",
    "number": "1902252836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 FRANKLIN CT SE STE A",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 FRANKLIN CT SE STE A",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678942",
            "telephone_number": "770-420-3393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUMOSKI",
        "first_name": "ZACH",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-10",
        "last_updated": "2016-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835C0205X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Critical Care",
            "state": "GA",
            "license": "RPH028505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.