Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1871372342 Individual Practitioner Male Practitioner

Dr. Shadi Yacoub , PharmD

Pharmacist • Brookhaven, GA

Professional Overview & Biography Verified Profile Summary

Dr. Shadi Yacoub, PharmD is a registered healthcare professional specializing in Pharmacist in Brookhaven, GA. Practice services are available at 104 TOWN BLVD NE STE A100 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

104 Town Blvd Ne Ste A100

Brookhaven, GA 303193146

Telephone 4042337480
Associated Practice Facility / Clinic
🏢 Publix Super Markets Inc Facility NPI 1417247701

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Brookhaven, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.0 Yrs
Regional Practice Density
36 Specialists

Practicing in Brookhaven, GA (8508 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-09-25
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License GA RPH034564

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
NPI 1275081234

Doctor of Pharmacy (Pharm.D.)

NPI 1285938704

Doctor of Pharmacy (Pharm.D.)

NPI 1306322482

Doctor of Pharmacy (Pharm.D.)

Kristin Lott

Pharmacist

NPI 1417568320
NPI 1508207903

Doctor of Pharmacy (Pharm.D.)

Jody Dinh

Pharmacist

NPI 1598598542

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 25, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location September 25, 2023

Registered at 104 TOWN BLVD NE STE A100, BROOKHAVEN, GA 303193146 (Tel: 4042337480)

📍
Updated Business Mailing Address September 25, 2023

Registered at 2230 CHESHIRE BRIDGE RD NE UNIT 512, ATLANTA, GA 303244281 (Tel: 4045931743)

👤
Provider Name / Credentials Updated September 25, 2023

Recorded as SHADI YACOUB, PHARMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 25, 2023

Pharmacist (License #RPH034564 in GA)

🟢
Initial NPI Registration & Enumeration September 25, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1871372342
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 25, 2023
Last Update: September 25, 2023
Sole Proprietor: No

Mailing Address

2230 Cheshire Bridge Rd Ne Unit 512

Atlanta, GA 303244281

Phone: 4045931743

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.