Healthcare Provider Details

I. General information

NPI: 1073420188
Provider Name (Legal Business Name): ALESSIA MARIA JANKOWSKI PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2316 WOODCREST DR SE
SMYRNA GA
30082-3864
US

IV. Provider business mailing address

2316 WOODCREST DR SE
SMYRNA GA
30082-3864
US

V. Phone/Fax

Practice location:
  • Phone: 678-357-0601
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH031535
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberRPH031535
License Number StateGA
# 3
Primary TaxonomyY
Taxonomy Code1835P0200X
TaxonomyPediatric Pharmacist
License NumberRPH031535
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: