NPIMap

Organization Active NPI

Pharmacy Place LLC

Doing business as The Pharmacy Place

  • Community/Retail Pharmacy
  • Peachtree City, GA
National Provider Identifier
1063878775
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHRE010257 Issued in GA
Legal business name
PHARMACY PLACE LLC
Doing business as
The Pharmacy Place
Practice address
2035 Commerce Dr N
Peachtree City, GA 30269-3538
Phone
(404) 849-5154
Fax
(678) 271-3971
NPI assigned
Jan 11, 2016
Last updated
Mar 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Authorized official

Name
Hiren PatelNPI 1023425220
Title
Ceo
Phone
(770) 222-1421

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHRE010257 GA Primary

Addresses

Primary practice location

2035 Commerce Dr N
Peachtree City, GA 30269-3538

Mailing address

2035 Commerce Dr N
Peachtree City, GA 30269-3538
Phone (678) 271-3970

Other names 1

  • The Pharmacy Place Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160824000262 GA Part B Supplier - Mass Immunization (Roster Biller Only) 6204121643 Practice locations: Peachtree City, GA

National Provider Directory

National Provider Directory
Tax ID family
Pharmacy Place LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

2005 Commerce Dr N
Peachtree City, GA 30269
Phone (678) 271-3970

2035 Commerce Dr N
Peachtree City, GA 30269
Phone (678) 271-3970

Practitioners & affiliated clinicians

Practitioners 5

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": "1452470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741564800000",
    "number": "1063878775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2035 COMMERCE DR N",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302693538",
            "telephone_number": "678-271-3970",
            "fax_number": "678-271-3971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2035 COMMERCE DR N",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302693538",
            "telephone_number": "404-849-5154",
            "fax_number": "678-271-3971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY PLACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-11",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "HIREN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-222-1421"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE010257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Pharmacy Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Peachtree City, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.