Mansfield Pharmacy,Inc

Primary specialty

PharmacistTaxonomy code 183500000X

License

9324 Issued in GA

Legal business name

MANSFIELD PHARMACY,INC

Practice address

832 Hambrick Rd
Stone MTN, GA 30083-3233

Phone

(404) 292-7300

NPI assigned

Jan 11, 2007

Last updated

Aug 22, 2020By 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

David H Mansfield, PHARMACIST

Title

Ceo

Phone

(404) 292-7300

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063562262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "832 HAMBRICK RD",
            "city": "STONE MTN",
            "state": "GA",
            "postal_code": "300833233",
            "telephone_number": "404-292-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "832 HAMBRICK RD",
            "city": "STONE MTN",
            "state": "GA",
            "postal_code": "300833233",
            "telephone_number": "404-292-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANSFIELD PHARMACY,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MANSFIELD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-292-7300",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "9324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00323188A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Stone MTN, GA
• Providers in Stone MTN, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.