Kanita Ahmad

Individual provider Active NPI Pharmacist · Cumming, GA

NPI 1982481685 · NPPES record last updated Sep 14, 2023

Key facts

NPI
1982481685
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
RPH034524 (GA)
Practice address
3095 Old Atlanta Rd
Cumming, GA 30041-2737
Phone
(770) 844-5686
NPI assigned
Sep 14, 2023
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RPH034524GAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia CVS Pharmacy L.L.C Past
since Sep 17, 2023
Accepting new patients
Georgia CVS Pharmacy, L.L.C. Past
since Sep 17, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH034524 GA Yes

Addresses

Primary practice location

3095 Old Atlanta Rd
Cumming, GA 30041-2737

Mailing address

6015 Hartwell CT
Cumming, GA 30040-9779
Phone (518) 982-4192

Other providers in Cumming, GA

All providers in Cumming, GA · Pharmacist in Georgia

Sources for this page

Verify at the official NPI Registry.