NPIMap

Organization Active NPI

Comprehensive Healthcare Management

  • Managed Care Organization Pharmacy
  • Marietta, GA
National Provider Identifier
1174890081
Registry record updated Nov 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Managed Care Organization PharmacyTaxonomy code 3336M0003X
License
RPH021895 Issued in GA
Legal business name
COMPREHENSIVE HEALTHCARE MANAGEMENT
Practice address
505 Glen Ivy
Marietta, GA 30062-9405
Phone
(404) 422-5400
NPI assigned
Nov 20, 2011
Last updated
Nov 20, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2011

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

Authorized official

Name
Dr. Farris D Gransberry Jr., PHARM. DNPI 1427325331
Title
Pharmacist
Phone
(404) 422-5400

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X RPH021895 GA
Durable Medical Equipment & Medical Supplies 332B00000X RPH021895 GA
Managed Care Organization Pharmacy 3336M0003X RPH021895 GA Primary

Addresses

Primary practice location

505 Glen Ivy
Marietta, GA 30062-9405

Mailing address

505 Glen Ivy
Marietta, GA 30062-9405

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1321747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321747200000",
    "number": "1174890081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 GLEN IVY",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300629405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 GLEN IVY",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300629405",
            "telephone_number": "404-422-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE HEALTHCARE MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-20",
        "last_updated": "2011-11-20",
        "status": "A",
        "authorized_official_last_name": "GRANSBERRY",
        "authorized_official_first_name": "FARRIS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "404-422-5400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PHARM. D"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "GA",
            "license": "RPH021895",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "RPH021895",
            "primary": false
        },
        {
            "code": "3336M0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Managed Care Organization Pharmacy",
            "state": "GA",
            "license": "RPH021895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.