CARMEN NICOLLE SEZONOV
NPI 1508491390
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Loganville, GA

Active since March 11, 2020
910 ATHENS HWY, LOGANVILLE, GA 30052(770) 554-1111(770) 554-8717 Get Directions Write a Review

NPPES record last updated: March 11, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Carmen Nicolle Sezonov NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARMEN NICOLLE SEZONOV (NPI 1508491390) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Loganville, Georgia, licensed in Georgia (018478) and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1508491390
Entity TypeIndividualFemale
Primary Taxonomy1835P0018X
Provider Legal NameCARMEN NICOLLE SEZONOV
Location Address910 ATHENS HWYLoganville, GA 30052-4952
Mailing Address910 Athens HwyLoganville, GA 30052-4952 · (770) 554-1111 · Fax (770) 554-8717
Fax(770) 554-8717
Sole ProprietorYes
Enumeration DateMarch 11, 2020
NPPES CertifiedMarch 11, 2020
NPI 1508491390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
License Licensed in GA · 018478
Definition
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
910 ATHENS HWY, Loganville, GA 30052

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
910 ATHENS HWY
LOGANVILLE, GA 30052
Pharmacist
910 ATHENS HWY
LOGANVILLE, GA 30052
Pharmacist
910 ATHENS HWY
LOGANVILLE, GA 30052
Pharmacist
910 ATHENS HWY
LOGANVILLE, GA 30052
Doula
910 ATHENS HWY, SUITE K#124
LOGANVILLE, GA 30052
Pharmacy (Community/Retail Pharmacy)
910 ATHENS HWY
LOGANVILLE, GA 30052
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
910 ATHENS HWY
LOGANVILLE, GA 30052

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carmen Sezonov's NPI number?

The NPI number for Carmen Sezonov is 1508491390. It was assigned to this individual provider in the NPPES registry on March 11, 2020.

Where is Carmen Sezonov located?

Carmen Sezonov practices at 910 Athens Hwy, Loganville, GA 30052. The listed phone number is (770) 554-1111.

What is Carmen Sezonov's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for Carmen Sezonov was last updated on March 11, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.