Active NPI
Mica Inge Koli, R.PH. PHARMD
- Pharmacist
- Johns Creek, GA
National Provider Identifier
1922551357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH016505
- Practice address
- 6055 Millwick Dr
Johns Creek, GA 30005-6743 - Phone
- (678) 620-9356
- NPI assigned
- Aug 2, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 | RPH016505 | GA | Primary |
Addresses
Primary practice location
6055 Millwick Dr
Johns Creek, GA 30005-6743
Mailing address
6055 Millwick Dr
Johns Creek, GA 30005-6743
Phone (678) 620-9356
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RPH016505 | Other | GA | PHARMACIST |
| 430715 | Other | GA | NABP |
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
| License | State | Type | Specialty |
|---|---|---|---|
| RPH016505 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470096000000",
"number": "1922551357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6055 MILLWICK DR",
"city": "JOHNS CREEK",
"state": "GA",
"postal_code": "300056743",
"telephone_number": "678-620-9356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6055 MILLWICK DR",
"city": "JOHNS CREEK",
"state": "GA",
"postal_code": "300056743",
"telephone_number": "678-620-9356"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOLI",
"first_name": "MICA",
"middle_name": "INGE",
"name_prefix": "Dr.",
"credential": "R.PH. PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-02",
"last_updated": "2016-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH016505",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST",
"identifier": "RPH016505",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP",
"identifier": "430715",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Johns Creek, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.