Organization Active NPI

Sandy Springs Pharmacy

  • Pharmacist
  • Atlanta, GA
National Provider Identifier
1194742890
Registry record updated Sep 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PHRE004962 Issued in GA
Legal business name
SANDY SPRINGS PHARMACY
Practice address
6329 Roswell Rd NE
Atlanta, GA 30328-3225
Phone
(404) 252-8165
NPI assigned
Jul 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2008

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

Authorized official

Name
Mr. Richard Smith, BS
Title
Pharmacist Owner
Phone
(404) 252-8165

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 183500000X PHRE004962 GA Primary

Addresses

Primary practice location

6329 Roswell Rd NE
Atlanta, GA 30328-3225

Mailing address

6329 Roswell Rd NE
Atlanta, GA 30328-3225
Phone (404) 252-8165

Other identifiers 1

IdentifierTypeStateIssuer
0035472DMedicaidGA

National Provider Directory

National Provider Directory

Locations

6329 Roswell Rd
Sandy Springs, GA 30328
Phone (404) 252-8165

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221091200000",
    "number": "1194742890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6329 ROSWELL RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303283225",
            "telephone_number": "404-252-8165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6329 ROSWELL RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303283225",
            "telephone_number": "404-252-8165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDY SPRINGS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2008-09-11",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PHARMACIST OWNER",
        "authorized_official_telephone_number": "404-252-8165",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "PHRE004962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0035472D",
            "state": "GA"
        }
    ],
    "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 Sep 11, 2008; 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.