MEDICARE: DR. CIMONE DANIELLE CARTER PHARM.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	RPH022840	GA

General Provider Information

NPI Number	:	1619247046
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CIMONE DANIELLE CARTER PHARM.D.

Provider Business Mailing Address
First Line	:	5187 WHITEOAK AVE SE
Second Line	:
City	:	SMYRNA
State	:	GA
Zip	:	30080-7424
Country	:	US
Telephone Number	:	678-855-3884
Fax Number	:

Provider Business Practice Location Address
First Line	:	1000 JOHNSON FY RD NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30342-1611
Country	:	US
Telephone Number	:	404-851-8102
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/02/2012
Last Update Date	:	01/20/2026

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