Organization Active NPI

Alixa RX LLC

Doing business as Alixa Rx

  • Long Term Care Pharmacy
  • Norcross, GA
National Provider Identifier
1003152497
Registry record updated Jan 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
ALIXA RX LLC
Doing business as
Alixa Rx
Practice address
3100 Northwoods PL
Suite F
Norcross, GA 30071-1670
Phone
(855) 428-3564
NPI assigned
Dec 13, 2012
Last updated
Jan 29, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
MARINA PHARMACY CORP.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 29, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Blake Griese
Title
General Counsel
Phone
(972) 372-6429

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X NU Primary

Addresses

Primary practice location

3100 Northwoods PL
Suite F
Norcross, GA 30071-1670

Mailing address

3100 Northwoods PL
Suite F
Norcross, GA 30071-1670
Phone (855) 428-3564

Other names 1

  • Alixa Rx Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Alixa RX LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3100 Northwoods Pl
Ste F
Peachtree Corners, GA 30071
Phone (855) 428-3564

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1355356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454025600000",
    "number": "1003152497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 NORTHWOODS PL",
            "address_2": "SUITE F",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300711670",
            "telephone_number": "855-428-3564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 NORTHWOODS PL",
            "address_2": "SUITE F",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300711670",
            "telephone_number": "855-428-3564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALIXA RX LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARINA PHARMACY CORP.",
        "enumeration_date": "2012-12-13",
        "last_updated": "2016-01-29",
        "status": "A",
        "authorized_official_last_name": "GRIESE",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_title_or_position": "GENERAL COUNSEL",
        "authorized_official_telephone_number": "972-372-6429"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alixa Rx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norcross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.