Individual provider Active NPI

Christopher Parks, RPH

  • Pharmacist
  • Mableton, GA
National Provider Identifier
1932447265
Registry record updated Jan 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
21593 Issued in GA
Practice address
5015 Floyd Rd SW
Publix Pharmacy Pharmacy Dept.
Mableton, GA 30126-1673
Phone
(770) 819-5436
NPI assigned
Jan 21, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 21593 GA Primary
Pharmacist 183500000X 5302028652 MI

Addresses

Primary practice location

5015 Floyd Rd SW
Publix Pharmacy Pharmacy Dept.
Mableton, GA 30126-1673

Mailing address

5015 Floyd Rd SW
Publix Pharmacy Pharmacy Dept.
Mableton, GA 30126-1673
Phone (770) 819-5436

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
21593GAMDPharmacist
5302028652MIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1358726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358726400000",
    "number": "1932447265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5015 FLOYD RD SW",
            "address_2": "PUBLIX PHARMACY PHARMACY DEPT.",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301261673",
            "telephone_number": "770-819-5436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5015 FLOYD RD SW",
            "address_2": "PUBLIX PHARMACY PHARMACY DEPT.",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301261673",
            "telephone_number": "770-819-5436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKS",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-21",
        "last_updated": "2013-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "21593",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302028652",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mableton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2013; 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.