Faith Health Services Inc

Primary specialty

Clinic PharmacyTaxonomy code 3336C0002X

Legal business name

FAITH HEALTH SERVICES INC

Doing business as

CPS

Practice address

3100 Medlock Bridge Rd Ste 500
Norcross, GA 30071-1441

Phone

(770) 442-8928

Fax

(770) 442-3320

NPI assigned

May 22, 2012

Organization subpart

No

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

Authorized official

Name

Faith Vickerie

Title

Ceo

Phone

(770) 598-8031

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• CPS Doing business as

Tax ID family

CPS2 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.

• Faith Health

  • Home Health Agency
  • Alpharetta, GA
  • NPI 1750685194
  NPD tax ID

Locations

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

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337904000000",
    "number": "1134489248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 PROSPECT PL",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300055454",
            "telephone_number": "678-624-1646",
            "fax_number": "770-442-3320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 MEDLOCK BRIDGE RD STE 500",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300711441",
            "telephone_number": "770-442-8928",
            "fax_number": "770-442-3320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-22",
        "last_updated": "2012-05-25",
        "status": "A",
        "authorized_official_last_name": "VICKERIE",
        "authorized_official_first_name": "FAITH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-598-8031"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1162483",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CPS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinic Pharmacy in Norcross, GA
• Providers in Norcross, GA by specialty
• Clinic Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2012; 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.