Lawrenceville Discount Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE009807 Issued in GA

Legal business name

LAWRENCEVILLE DISCOUNT PHARMACY LLC

Doing business as

Lawrenceville Discount Pharmacy

Practice address

905 Parkside Walk LN Ste 108
Lawrenceville, GA 30043-7314

Phone

(770) 682-9992

NPI assigned

Jan 23, 2012

Last updated

Jul 26, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Fingerman

Title

Owner

Phone

(770) 682-9992

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lawrenceville Discount Pharmacy Doing business as

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

{
    "created_epoch": "1327276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343260800000",
    "number": "1023389046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 PARKSIDE WALK LN",
            "address_2": "SUITE 108",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300437314",
            "telephone_number": "770-682-9992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 PARKSIDE WALK LN STE 108",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300437314",
            "telephone_number": "770-682-9992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCEVILLE DISCOUNT PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-23",
        "last_updated": "2012-07-26",
        "status": "A",
        "authorized_official_last_name": "FINGERMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-682-9992"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE009807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1162089",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lawrenceville Discount Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Community/Retail Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2012; 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.