Mountain Specialty Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MOUNTAIN SPECIALTY PHARMACY LLC

Practice address

1183 S Hairston Rd Ste C
Stone Mountain, GA 30088-2796

Phone

(770) 299-2965

Fax

(770) 299-2966

NPI assigned

Jan 31, 2025

Organization subpart

No

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

Authorized official

Name

Pritiben Patel

Title

Owner

Phone

(770) 299-2965

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1738281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738281600000",
    "number": "1073326161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1183 S HAIRSTON RD STE C",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300882796",
            "telephone_number": "770-299-2965",
            "fax_number": "770-299-2966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1183 S HAIRSTON RD STE C",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300882796",
            "telephone_number": "770-299-2965",
            "fax_number": "770-299-2966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN SPECIALTY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-31",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PRITIBEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-299-2965"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Retail Pharmacy in Stone Mountain, GA
• Providers in Stone Mountain, 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 Jan 31, 2025; 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.