OrganizationActive
Giovanni Nirmala
NPI 1205129129 · Pharmacy · Stone Mountain, GA
Provider details
- NPI number
- 1205129129
- Entity type
- Organization
- Primary specialty
- PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Nikki Broadneaux, Chief Executive Officer(414) 418-0530
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
477 Tallwood Dr
Stone Mountain, GA 30083-4461
Phone: (414) 418-0530
Street-level locationGet directions
Mailing address
477 Tallwood Dr
Stone Mountain, GA 30083-4461
Registry dates
- Enumerated
- 2011-05-25
- Last updated
- 2011-05-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.