Individual provider Active NPI

Danielle Martina Navalta, PHARMD

  • Pharmacist
  • Peachtree City, GA
National Provider Identifier
1922412204
Registry record updated Apr 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH027537 Issued in GA
Practice address
2228 Highway 54
Peachtree City, GA 30269-1524
Phone
(770) 487-6877
NPI assigned
Jun 16, 2014
Last updated
Apr 30, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH027537 GA Primary
Pharmacist 183500000X 0202212369 VA

Addresses

Primary practice location

2228 Highway 54
Peachtree City, GA 30269-1524

Mailing address

4101 Lakeside Way
Newnan, GA 30265-5605

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
RPH027537GAMDPharmacist
0202212369VAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430352000000",
    "number": "1922412204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 LAKESIDE WAY",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302655605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2228 HIGHWAY 54",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691524",
            "telephone_number": "770-487-6877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAVALTA",
        "first_name": "DANIELLE",
        "middle_name": "MARTINA",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-16",
        "last_updated": "2015-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH027537",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202212369",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peachtree City, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2015; 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.