Individual provider Active NPI

Charles A Platz, R.PH.

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Norcross, GA
National Provider Identifier
1972197515
Registry record updated Feb 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
RPH0013450 Issued in GA
Practice address
3070 Business Park Dr Ste a
Norcross, GA 30071-1428
Phone
(770) 496-5314
Fax
(770) 496-7445
NPI assigned
Feb 24, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X RPH0013450 GA Primary

Addresses

Primary practice location

3070 Business Park Dr Ste a
Norcross, GA 30071-1428

Mailing address

PO Box 2078
Flowery Branch, GA 30542-0035
Phone (404) 375-6819

Other identifiers 1

IdentifierTypeStateIssuer
RPH0013450OtherGASTATE LICENSE

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
RPH0013450GAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Managed Health Solutions LLC CurrentSince Mar 4, 2021 Accepting new patients

Locations

3070 Business Park Dr
Ste A
Norcross, GA 30071
Phone (770) 496-5314

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1614124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1972197515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2078",
            "city": "FLOWERY BRANCH",
            "state": "GA",
            "postal_code": "305420035",
            "telephone_number": "404-375-6819",
            "fax_number": "770-496-7445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3070 BUSINESS PARK DR STE A",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300711428",
            "telephone_number": "770-496-5314",
            "fax_number": "770-496-7445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLATZ",
        "first_name": "CHARLES",
        "middle_name": "A",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-24",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "GA",
            "license": "RPH0013450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "RPH0013450",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norcross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.