Active NPI
Harville Group, LLC
Doing business as Atlanta Pharmacy & Medical Supply
- Community/Retail Pharmacy
- Marietta, GA
National Provider Identifier
1215296470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHHH000051
- Legal business name
- HARVILLE GROUP, LLC
- Doing business as
- Atlanta Pharmacy & Medical Supply
- Practice address
- 1395 S Marietta Pkwy SE BLDG 400-105
Marietta, GA 30067-4438 - Phone
- (770) 672-7976
- Fax
- (770) 672-7975
- NPI assigned
- May 9, 2012
- 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
- Vincent Harville
- Title
- MGR
- Phone
- (770) 672-7976
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PHHH000051 | GA | Primary |
| Compounding Pharmacy | 3336C0004X | |||
| Home Infusion Therapy Pharmacy | 3336H0001X | |||
| Long Term Care Pharmacy | 3336L0003X | |||
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
1395 S Marietta Pkwy SE BLDG 400-105
Marietta, GA 30067-4438
Mailing address
1395 S Marietta Pkwy SE
BLDG 400-105
Marietta, GA 30067-4440
Phone (770) 672-7976
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1162382 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- ATLANTA PHARMACY & MEDICAL SUPPLY
National Provider Directory
National Provider Directory- Tax ID family
- Atlanta Pharmacy Medical Supply
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Atlanta Pharmacy & Medical Supply
- Community/Retail Pharmacy
- Marietta, GA
- NPI 1679749758
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336521600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1336521600000",
"number": "1215296470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1395 S MARIETTA PKWY SE",
"address_2": "BLDG 400-105",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300674440",
"telephone_number": "770-672-7976",
"fax_number": "770-672-7975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1395 S MARIETTA PKWY SE BLDG 400-105",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300674438",
"telephone_number": "770-672-7976",
"fax_number": "770-672-7975"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARVILLE GROUP, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-09",
"last_updated": "2012-05-09",
"status": "A",
"authorized_official_last_name": "HARVILLE",
"authorized_official_first_name": "VINCENT",
"authorized_official_title_or_position": "MGR",
"authorized_official_telephone_number": "770-672-7976"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "GA",
"license": "PHHH000051",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336H0001X",
"taxonomy_group": "",
"desc": "Pharmacy, Home Infusion Therapy Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "1162382",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ATLANTA PHARMACY & MEDICAL SUPPLY",
"code": "3",
"type": "Doing Business As"
}
]
}
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 May 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.