Active NPI
Fords Pharmacy LLC
Doing business as Ford's Pharmacy
- Community/Retail Pharmacy
- Adairsville, GA
National Provider Identifier
1104132521
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHRE009680
- Legal business name
- FORDS PHARMACY LLC
- Doing business as
- Ford's Pharmacy
- Practice address
- 7441 Adairsville Hwy
Adairsville, GA 30103-2014 - Phone
- (770) 773-1800
- Fax
- (770) 773-1809
- NPI assigned
- Aug 23, 2010
- Last updated
- Dec 31, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark Ford
- Title
- Owner
- Phone
- (770) 547-1465
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | NU | ||
| Community/Retail Pharmacy | 3336C0003X | PHRE009680 | GA | Primary |
Addresses
Primary practice location
7441 Adairsville Hwy
Adairsville, GA 30103-2014
Mailing address
7441 Adairsville Hwy
Adairsville, GA 30103-2014
Phone (770) 773-1800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2126305 | Other | PK |
Other names 1
- Ford's Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210125001025 | GA | Part B Supplier - Pharmacy | 0941614440 | Practice locations: Adairsville, GA |
| O20210913002450 | GA | Part B Supplier - Independent Clinical Laboratory | 0941614440 | Practice locations: Adairsville, GA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2214069 | Fords Pharmacy | Certificate of waiver | Feb 17, 2027 |
National Provider Directory
National Provider DirectoryLocations
7441 Adairsville Hwy
Adairsville, GA 30103
Phone (770) 773-1800
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Pharmacist
- Adairsville, GA
- NPI 1700489416
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282521600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1609372800000",
"number": "1104132521",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7441 ADAIRSVILLE HWY",
"city": "ADAIRSVILLE",
"state": "GA",
"postal_code": "301032014",
"telephone_number": "770-773-1800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7441 ADAIRSVILLE HWY",
"city": "ADAIRSVILLE",
"state": "GA",
"postal_code": "301032014",
"telephone_number": "770-773-1800",
"fax_number": "770-773-1809"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FORDS PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-08-23",
"last_updated": "2020-12-31",
"certification_date": "2020-12-31",
"status": "A",
"authorized_official_last_name": "FORD",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "770-547-1465"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "GA",
"license": "PHRE009680",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2126305",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Ford's Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Ford's Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Adairsville, GA
- Katelynn O'Phallon Fassnacht
- Cory John Ferguson, DC
- Floyd Healthcare Management Inc
- Floyd Healthcare Management, Inc. (Floyd Primary Care)
- Michelle McMicken Ford, PHARMD
- Maria Cruz Franklin, BCBA
- Annemarie Virginia Freeman, OTR/L
- Rhonda Gabel, APRN, FNP-C
- Gala Chiropractic Center LLC (Jordan Galanos DC)
- Jordan Galanos
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.