Holly Springs Pharmacy LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

PHRE009819 Issued in GA

Legal business name

HOLLY SPRINGS PHARMACY LLC

Practice address

3422 Sixes Rd Ste 302
Canton, GA 30114-9126

Phone

(770) 213-3341

Fax

(770) 213-3294

NPI assigned

Apr 6, 2018

Organization subpart

No

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

Authorized official

Name

Jonathan Marquess

Title

Owner

Phone

(770) 948-3133

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Pharmoore Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1522972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522972800000",
    "number": "1144727199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8612 MAIN ST",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301884829",
            "telephone_number": "678-285-0760",
            "fax_number": "770-971-0315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3422 SIXES RD STE 302",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301149126",
            "telephone_number": "770-213-3341",
            "fax_number": "770-213-3294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLY SPRINGS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-06",
        "last_updated": "2018-04-06",
        "status": "A",
        "authorized_official_last_name": "MARQUESS",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-948-3133"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "GA",
            "license": "PHRE009819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003135011A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2176500",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pharmoore Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maria Jane Holder, NP
• Diane L Hollander, PSYD, BCBA-D
• Sandra Sue Hollingsworth, R.PH.
• Holly Springs Chiropractic Clinic, Inc.
• Holly Springs Pharmacy LLC
• Nicole Teresa Hood, FNP
• Kori Alise Hooks
• Hope Kidney Clinic LLC
• Nicholas Tycho Hornbuckle, PHARMD
• Laura German Horne, NP

• Long Term Care Pharmacy in Canton, GA
• Providers in Canton, 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 6, 2018; 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.