NPIMap

Organization Active NPI

Pharmasouth Government Services, LLC

  • Pharmacy
  • Atlanta, GA
National Provider Identifier
1104115070
Registry record updated Mar 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PHRE009743 Issued in GA
Legal business name
PHARMASOUTH GOVERNMENT SERVICES, LLC
Practice address
2235 Faulkner Rd NE
Atlanta, GA 30324-4224
Phone
(404) 325-9700
Fax
(404) 948-1388
NPI assigned
Mar 31, 2011
Last updated
Mar 31, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2011

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

Authorized official

Name
Joey Hedgemon
Title
Owner
Phone
(404) 325-9700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHRE009743 GA Primary

Addresses

Primary practice location

2235 Faulkner Rd NE
Atlanta, GA 30324-4224

Mailing address

2915 Piedmont Rd NE
Suite a
Atlanta, GA 30305-2782
Phone (404) 325-9700

National Provider Directory

National Provider Directory
Tax ID family
Pharmasouth Government Services 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

2235 Faulkner Rd NE
Atlanta, GA 30324
Phone (404) 325-9700

2915 Piedmont Rd NE
Ste A
Atlanta, GA 30305

NPI Registry JSON

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

{
    "created_epoch": "1301529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301529600000",
    "number": "1104115070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2915 PIEDMONT RD NE",
            "address_2": "SUITE A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303052782",
            "telephone_number": "404-325-9700",
            "fax_number": "404-948-1388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2235 FAULKNER RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303244224",
            "telephone_number": "404-325-9700",
            "fax_number": "404-948-1388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMASOUTH GOVERNMENT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-31",
        "last_updated": "2011-03-31",
        "status": "A",
        "authorized_official_last_name": "HEDGEMON",
        "authorized_official_first_name": "JOEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-325-9700"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "GA",
            "license": "PHRE009743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2011; 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.