Ehiozogie N Asemota, PHARMD, RPH
Individual provider Active NPI Pharmacist · Tucker, GA
NPI 1972194504 · NPPES record last updated Jan 27, 2021
Key facts
- NPI
- 1972194504
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RPH032611 (GA)
- Practice address
- 4317 Chamblee Tucker Rd
Tucker, GA 30084-2106 - Phone
- (770) 938-6146
- NPI assigned
- Jan 27, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH032611 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia CVS Pharmacy L.L.C | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist |
183500000X | RPH032611 | GA | Yes |
Addresses
Primary practice location
4317 Chamblee Tucker Rd
Tucker, GA 30084-2106
Mailing address
4317 Chamblee Tucker Rd
Tucker, GA 30084-2106
Phone (770) 938-6146
Other providers in Tucker, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.