Gholam R Bakhtiari

Primary specialty

PharmacistTaxonomy code 183500000X

License

PHRE008399 Issued in GA

Practice address

41 Jesse Hill Jr Dr NE
Atlanta, GA 30303-2607

Phone

(404) 688-2211

Fax

(404) 688-2226

NPI assigned

Oct 25, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• B & K Drugstores Inc

  dba Express Drugs

  • Long Term Care Pharmacy
  • Atlanta, GA
  • NPI 1396383394
  NPD Authorized official
• B & K Drugstores Inc

  dba Express Drugs

  • Pharmacist
  • Atlanta, GA
  • NPI 1891830303
  NPD Authorized official
• Edgewood Medical Center Inc

  • Multi-Specialty Clinic/Center
  • Atlanta, GA
  • NPI 1801199914
  Authorized official Same address or phone

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902981418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 JESSE HILL JR DR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30303",
            "telephone_number": "770-931-3227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 JESSE HILL JR DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303032607",
            "telephone_number": "404-688-2211",
            "fax_number": "404-688-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKHTIARI",
        "first_name": "GHOLAM",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "PHRE008399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Varrenza Lashaun Baker, CTRS
• Pooria Bakheshi
• Ahmad Hassan Bakhribah, MD
• Abdullah Abdulrahman Bakhsh, M.B.B.S
• Sarah B Bakhshi
• Nicolas Bakinde, MD, PHD
• Angela A. Bakke, D.M.D.
• David A Bakken, M.D.
• Arjun S Bakshi, MD
• Bhavya Bakshi

• Pharmacist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.