Organization Active NPI

Red Carpet Medical

  • Community/Retail Pharmacy
  • Acworth, GA
National Provider Identifier
1962777458
Registry record updated Oct 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHRE009855 Issued in GA
Legal business name
RED CARPET MEDICAL
Practice address
3450 Cobb Pkwy NW Ste 110
Acworth, GA 30101-8376
Phone
(770) 529-9277
NPI assigned
Mar 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2021

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

Authorized official

Name
Jimi SharomiNPI 1669116802
Title
Owner
Phone
(770) 529-9277

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHRE009855 GA Primary
Compounding Pharmacy 3336C0004X
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

3450 Cobb Pkwy NW Ste 110
Acworth, GA 30101-8376

Mailing address

3450 Cobb Pkwy NW Ste 110
Acworth, GA 30101-8376
Phone (770) 529-9277

Other identifiers 2

IdentifierTypeStateIssuer
2135105OtherPK
003127687AMedicaidGA

Other names 1

  • Thrive Compounding Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

3450 Cobb Pkwy NW
Ste 110
Acworth, GA 30101
Phone (770) 529-9277

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1331769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634860800000",
    "number": "1962777458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 COBB PKWY NW STE 110",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301018376",
            "telephone_number": "770-529-9277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 COBB PKWY NW STE 110",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301018376",
            "telephone_number": "770-529-9277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED CARPET MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-15",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A",
        "authorized_official_last_name": "SHAROMI",
        "authorized_official_first_name": "JIMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-529-9277"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE009855",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2135105",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003127687A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thrive Compounding Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Acworth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; 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.