P Praxis·MD
● Active Type 1 · Individual

Shadi Yacoub, PHARMD

Pharmacist·Brookhaven, GA· NPI 1871372342 · Enumerated 2023 · 2 years on NPI
Yacoub is 1 of 36 pharmacist providers in Brookhaven and 1 of 8384 in Georgia.
NPI age
2 years
Enumerated 2023-09-25
Primary specialty
Pharmacist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-09-25
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
2 years
↓ 7 yr below median (9 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
10% of peers hold subspecialties

NPI lifetime · 2023 → 2026

2023-09Enumerated in NPPES
2023 2026

Where they practice

Practice location
104 Town Blvd Ne Ste A100
Brookhaven, GA 303193146
📞 4042337480
Mailing address
2230 Cheshire Bridge Rd Ne Unit 512
Atlanta, GA 303244281
📞 4045931743

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 #RPH034564 taxonomy 183500000X

Practice context

Part of a multi-provider practice. 3 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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