NPIMap

Organization Active NPI

Pharmasouth Government Services, LLC

  • Pharmacy
  • Atlanta, GA
National Provider Identifier
1174813976
Registry record updated Apr 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PHWH003162 Issued in GA
Legal business name
PHARMASOUTH GOVERNMENT SERVICES, LLC
Practice address
2109 Faulkner Rd NE
Atlanta, GA 30324-4268
Phone
(404) 633-0027
Fax
(404) 933-1388
NPI assigned
Apr 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2011

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

Authorized official

Name
Joey Hedgemon
Title
Owner
Phone
(404) 633-0027

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHWH003162 GA Primary

Addresses

Primary practice location

2109 Faulkner Rd NE
Atlanta, GA 30324-4268

Mailing address

2915 Piedmont Rd NE
Suite a
Atlanta, GA 30305-2782
Phone (404) 592-0585

National Provider Directory

National Provider Directory
Tax ID family
Pharmasouth Government Services 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.

Locations

2109 Faulkner Rd NE
Atlanta, GA 30324
Phone (404) 633-0027

NPI Registry JSON

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

{
    "created_epoch": "1302652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302652800000",
    "number": "1174813976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2915 PIEDMONT RD NE",
            "address_2": "SUITE A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303052782",
            "telephone_number": "404-592-0585",
            "fax_number": "404-933-1388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 FAULKNER RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303244268",
            "telephone_number": "404-633-0027",
            "fax_number": "404-933-1388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMASOUTH GOVERNMENT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-13",
        "last_updated": "2011-04-13",
        "status": "A",
        "authorized_official_last_name": "HEDGEMON",
        "authorized_official_first_name": "JOEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-633-0027"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "GA",
            "license": "PHWH003162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; 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.