Organization Active NPI

Buckhead Pharmaceutical Association Inc

Doing business as Buckhead Pharmaceutical Association

  • Community/Retail Pharmacy
  • Mayfield Village, OH
National Provider Identifier
1235171893
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
021395150 Issued in OH
Legal business name
BUCKHEAD PHARMACEUTICAL ASSOCIATION INC
Doing business as
Buckhead Pharmaceutical Association
Practice address
730 Som Center Rd
Ste 100
Mayfield Village, OH 44143-2350
Phone
(440) 605-0303
Fax
(440) 605-1437
NPI assigned
Jun 11, 2006
Last updated
Jul 19, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2018

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

Authorized official

Name
David Braginsky
Title
Manager
Phone
(440) 605-0303

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 021395150 OH Primary

Addresses

Primary practice location

730 Som Center Rd
Ste 100
Mayfield Village, OH 44143-2350

Mailing address

730 Som Center Rd
Ste 100
Mayfield Village, OH 44143-2350
Phone (440) 605-0303

Other identifiers 2

IdentifierTypeStateIssuer
2426520MedicaidOH
2079636OtherPK

Other names 1

  • BUCKHEAD PHARMACEUTICAL ASSOCIATION Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

730 Som Center Rd
Ste 100
Mayfield Village, OH 44143
Phone (440) 605-0303

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1235171893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 SOM CENTER RD",
            "address_2": "STE 100",
            "city": "MAYFIELD VILLAGE",
            "state": "OH",
            "postal_code": "441432350",
            "telephone_number": "440-605-0303",
            "fax_number": "440-605-1437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 SOM CENTER RD",
            "address_2": "STE 100",
            "city": "MAYFIELD VILLAGE",
            "state": "OH",
            "postal_code": "441432350",
            "telephone_number": "440-605-0303",
            "fax_number": "440-605-1437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKHEAD PHARMACEUTICAL ASSOCIATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "BRAGINSKY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "440-605-0303"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "021395150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2426520",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2079636",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BUCKHEAD PHARMACEUTICAL ASSOCIATION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mayfield Village, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.