NPI Code Detail JSON Logo

1053064394 NPI number — ASHLEIGH CARMEN DUNNIVAN PHARMD

NPI Number: 1053064394
Health Care Provider/Practitioner: ASHLEIGH CARMEN DUNNIVAN PHARMD

Information about “1053064394” NPI (ASHLEIGH CARMEN DUNNIVAN PHARMD) exists in 1053064394 in HTML format HTML  |  1053064394 in plain Text format TXT  |  1053064394 in PDF (Portable Document Format) PDF  |  1053064394 in an XML format XML  formats.

NPI Number : 1053064394 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1053064394",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DUNNIVAN",
    "FirstName": "ASHLEIGH",
    "MiddleName": "CARMEN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PHARMD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "ALLISON",
    "OtherFirstName": "ASHLEIGH",
    "OtherMiddleName": "CARMEN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "PHARMD",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1639 BRADLEY PARK DR STE 600",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "COLUMBUS",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "31904-3625",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "706-571-3426",
    "MailingAddressFaxNumber": "706-571-3434",
    "FirstLinePracticeLocationAddress": "1639 BRADLEY PARK DR STE 600",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "COLUMBUS",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "31904-3625",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "706-571-3426",
    "PracticeLocationAddressFaxNumber": "706-571-3434",
    "EnumerationDate": "01/27/2022",
    "LastUpdateDate": "11/04/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "3336C0003X",
        "TaxonomyName": "Community/Retail Pharmacy",
        "LicenseNumber": "RPH035297",
        "LicenseNumberStateCode": "GA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.