NPIMap

Organization Active NPI

Grady Memorial Hospital Corporation

  • Community/Retail Pharmacy
  • Atlanta, GA
National Provider Identifier
1124598362
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
GRADY MEMORIAL HOSPITAL CORPORATION
Practice address
80 Gilmer Street
Room 8570
Atlanta, GA 30303
Phone
(404) 489-9144
NPI assigned
Nov 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Authorized official

Name
Dr. Mary Katherine Cheeley, PHARMD
Title
Executive Director of Amb Pharmacy
Phone
(404) 616-5711

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

80 Gilmer Street
Room 8570
Atlanta, GA 30303

Mailing address

80 Jesse Hill Jr Dr SE
Pharmacy Administration, Box 26041
Atlanta, GA 30303
Phone (404) 616-3415

Other names 1

  • Correll Cancer Center Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Grady Memorial Hospital Corporation15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

Locations

80 Jesse Hill Jr Dr SE
#26041
Atlanta, GA 30303

80 Jesse Hill Jr Dr SE
Rm 10B43
Atlanta, GA 30303

NPI Registry JSON

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

{
    "created_epoch": "1543536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675209600000",
    "number": "1124598362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 JESSE HILL JR DR SE",
            "address_2": "PHARMACY ADMINISTRATION, BOX 26041",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30303",
            "telephone_number": "404-616-3415",
            "fax_number": "404-616-6070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 GILMER STREET",
            "address_2": "ROOM 8570",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30303",
            "telephone_number": "404-489-9144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRADY MEMORIAL HOSPITAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-30",
        "last_updated": "2023-02-01",
        "certification_date": "2023-01-26",
        "status": "A",
        "authorized_official_last_name": "CHEELEY",
        "authorized_official_first_name": "MARY KATHERINE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR OF AMB PHARMACY",
        "authorized_official_telephone_number": "404-616-5711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Correll Cancer Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Correll Cancer Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 1, 2023; 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.