Active NPI
Piedmont Direct Pharmacy LLC
- Community/Retail Pharmacy
- Bogart, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- PIEDMONT DIRECT PHARMACY LLC
- Practice address
- 190 Ben Burton Cir
Bogart, GA 30622-1790 - Phone
- (833) 551-2024
- Fax
- (833) 439-0010
- NPI assigned
- Feb 15, 2021
- Last updated
- Apr 15, 2026
- 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
- Jennifer Storey Harbin
- Title
- Executive Director
- Phone
- (706) 660-2877
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary | ||
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
190 Ben Burton Cir
Bogart, GA 30622-1790
Mailing address
190 Ben Burton Cir
Bogart, GA 30622-1790
Phone (833) 551-2024
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211006001738 | GA | Part B Supplier - Pharmacy | 6608274667 | Practice locations: Bogart, GA |
National Provider Directory
National Provider DirectoryLocations
1510 Prince Ave
Ste A
Athens, GA 30606
Phone (833) 551-2024
190 Ben Burton Cir
Bogart, GA 30622
Phone (833) 551-2024
Practitioners & affiliated clinicians
Practitioners 2
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
- Columbus, GA
- NPI 1780744243
-
- Pharmacist
- Athens, GA
- NPI 1053777060
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613347200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776211200000",
"number": "1134712763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "190 BEN BURTON CIR",
"city": "BOGART",
"state": "GA",
"postal_code": "306221790",
"telephone_number": "833-551-2024",
"fax_number": "833-439-0010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "190 BEN BURTON CIR",
"city": "BOGART",
"state": "GA",
"postal_code": "306221790",
"telephone_number": "833-551-2024",
"fax_number": "833-439-0010"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PIEDMONT DIRECT PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-15",
"last_updated": "2026-04-15",
"certification_date": "2026-04-15",
"status": "A",
"authorized_official_last_name": "HARBIN",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "STOREY",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "706-660-2877"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bogart, GA
- Pediatric Partners LLC
- Performance Pediatrics and Sports Medicine, LLC
- Pharmaceutical Specialties LLC (Psi)
- Pharmaceutical Specialties LLC (Maxor Specialty Pharmacy)
- Pharmaceutical Specialties LLC (Pharmaceutical Specialties Express)
- Playful Steps ABA
- Carla Hobbs Pruitt, M.ED, CCC-SLP
- Pruitthealth Hospice, Inc. (PruittHealth Hospice - Athens)
- R.Hamil, MD, PC
- Jamie Lin Ramsey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.