P Praxis·MD
● Active Type 1 · Individual

DR. Cynthia Fombutu, PHARM D

Pharmacist·Conyers, GA· NPI 1407278856 · Enumerated 2014 · 12 years on NPI
Fombutu is 1 of 56 pharmacist providers in Conyers and 1 of 8384 in Georgia.
NPI age
12 years
Enumerated 2014-01-19
Primary specialty
Pharmacist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2014-01-19
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 8384 active pharmacist providers in Georgia.

NPI age
12 years
↑ 3 yr above median (9 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
10% of peers hold subspecialties

NPI lifetime · 2014 → 2026

2014-01Enumerated in NPPES
2014 2026

Where they practice

Practice location
2195 Highway 20 Se
Conyers, GA 300132028
📞 7707856471
Mailing address
154 Waterlace Way
Fayetteville, GA 302155154
📞 6783719966

Specialties

  • Pharmacist Primary
    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,...
    GA license #RPH21490 taxonomy 183500000X

Practice context

Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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