Old Nat Drugs, LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

OLD NAT DRUGS, LLC

Practice address

5495 Old National Hwy Ste C2
College Park, GA 30349-3256

Phone

(678) 922-1211

Fax

(404) 458-5962

NPI assigned

Apr 20, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Linda Davis, PHARMD

Title

Pharmacist in Charge

Phone

(678) 922-1211

Specialties & licenses 1

Addresses

Other names 1

• Old Nat Long Term Care Pharmacy Doing business as

Tax ID family

Old Nat Drugs 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.

• Old Nat Drugs, LLC

  • Community/Retail Pharmacy
  • College Park, GA
  • NPI 1073223855
  NPD tax ID

Locations

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

{
    "created_epoch": "1681948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681948800000",
    "number": "1124715909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5495 OLD NATIONAL HWY STE C2",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303493256",
            "telephone_number": "678-922-1211",
            "fax_number": "404-458-5962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5495 OLD NATIONAL HWY STE C2",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303493256",
            "telephone_number": "678-922-1211",
            "fax_number": "404-458-5962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLD NAT DRUGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-20",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "678-922-1211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Old Nat Long Term Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kaisha Ogilvie, DPT
• Christain C. Ohagwu, M.D.
• Ifetayo I. Ojelade, PH.D.
• Freddie Okoye
• Old Nat Drugs, LLC
• Old National Drug Pharmacy
• Old National OB- GYN, LLC
• Orchard Human Services, Inc.
• Orsetto LLC
• Javalyn Osborne

• Long Term Care Pharmacy in College Park, GA
• Providers in College Park, GA by specialty
• Long Term Care Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.