West Georgia Medical Center, Inc

Primary specialty

Home Infusion Therapy PharmacyTaxonomy code 3336H0001X

License

PHH004026 Issued in GA

Legal business name

WEST GEORGIA MEDICAL CENTER, INC

Doing business as

West Georgia Health Pharmacy

Practice address

1514 Vernon Rd
Lagrange, GA 30240-4131

Phone

(706) 845-3731

Fax

(706) 845-3010

NPI assigned

Apr 10, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Anthony J Budzinski

Title

Evp

Phone

(470) 644-0012

Specialties & licenses 2

Addresses

Other names 1

• West Georgia Health Pharmacy Doing business as

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582502400000",
    "number": "1134342991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 PARKWAY PL SE STE 500",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678237",
            "telephone_number": "470-956-4981",
            "fax_number": "770-999-2489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 VERNON RD",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302404131",
            "telephone_number": "706-845-3731",
            "fax_number": "706-845-3010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST GEORGIA MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A",
        "authorized_official_last_name": "BUDZINSKI",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EVP",
        "authorized_official_telephone_number": "470-644-0012",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "GA",
            "license": "PHH004026",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "GA",
            "license": "PHH004026",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Georgia Health Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "West Georgia Health Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• West Georgia Home Medical Equipment Co Inc
• West Georgia Home Medical Equipment Co Inc
• West Georgia Medical Center Inc
• West Georgia Medical Center Inc
• West Georgia Medical Center Inc
• West Georgia Medical Center, Inc
• West Georgia Medical Center, Inc.
• West Georgia Medical Center, Inc.
• West Georgia Medical Center, Inc.
• West Georgia Medical Center, Inc.

• Home Infusion Therapy Pharmacy in Lagrange, GA
• Providers in Lagrange, GA by specialty
• Home Infusion Therapy Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; 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.