NPI age
11 years
Enumerated 2014-10-29
● Active
Type 1 · Individual
Jill Otto
Otto is 1 of 72 pharmacist providers in Roswell and 1 of 8384 in Georgia.
Primary specialty
Pharmacist
Plus 1 subspecialty
Licensed in
GA, AL
2 states
Status
Active
No deactivations on record
Last NPPES update
2020-10-14
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 8384 active pharmacist providers in Georgia.
NPI age
11 years
↑ 2 yr above median (9 yr)
State licenses
2 states
Top 90% — 9% of peers are multi-state
Subspecialties
0
10% of peers hold subspecialties
NPI lifetime · 2014 → 2026
2014-10Enumerated in NPPES
2014
2026
Where they practice
Practice location
2300 Holcomb Bridge Rd
Roswell, GA 300763481
Mailing address
2300 Holcomb Bridge Rd
Roswell, GA 300763481
Additional practice locations
1 secondary location on file with NPPES.
Location 2
7090 Highway 72 W
Huntsville, AL 358061728
Specialties
-
Pharmacist PrimaryAn 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,...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (AL) | 17467 | PHARMACIST LICENSE NUMBER |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 9 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.