Active NPI
Red Carpet Medical
- Community/Retail Pharmacy
- Acworth, GA
National Provider Identifier
1962777458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHRE009855
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jimi Sharomi
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2135105 | Other | PK | |
| 003127687A | Medicaid | GA |
Other names 1
- Thrive Compounding Pharmacy
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Dallas, GA
- NPI 1669116802
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.