Organization Active NPI

Hansford Pharmacy Services LLC

  • Long Term Care Pharmacy
  • Athens, GA
National Provider Identifier
1235201013
Registry record updated Aug 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
PHRE007982 Issued in GA
Legal business name
HANSFORD PHARMACY SERVICES LLC
Practice address
1135 Cedar Shoals Dr
BLDG 6 Suite a
Athens, GA 30605-5299
Phone
(706) 369-0583
Fax
(706) 369-9592
NPI assigned
Nov 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2017

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

Authorized official

Name
Ann Hansford, RPH
Title
Owner Pharmacy MNGR
Phone
(706) 369-3050

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X
Home Infusion Therapy Pharmacy 3336H0001X
Long Term Care Pharmacy 3336L0003X PHRE007982 GA Primary

Addresses

Primary practice location

1135 Cedar Shoals Dr
BLDG 6 Suite a
Athens, GA 30605-5299

Mailing address

1135 Cedar Shoals Dr
Building 6 Suite a
Athens, GA 30605-5299
Phone (706) 369-9592

Other identifiers 2

IdentifierTypeStateIssuer
00734126AMedicaidGA
2020501OtherPK

Other names 1

  • ATHENS INFUSION AND PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930097959 GA DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered Pharmacist 0042417552 Practice locations: Athens, GA
O20110908001698 GA Part B Supplier - Mass Immunization (Roster Biller Only) 0042417552 Practice locations: Athens, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Hansford Pharmacy Services LLC1135 Cedar Shoals Dr, Athens, GA 30605-5299(706) 369-0583 Infusion Drugs|Nebulizer Drugs|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Enteral Nutrients|Enteral Equipment and/or Supplies|Parenteral Nutrients|Parenteral Equipment and/or Supplies|Surgical Dressings Does not accept assignmentParticipating since Oct 22, 2008

National Provider Directory

National Provider Directory

Locations

1135 Cedar Shoals Dr
Bldg 6
Athens, GA 30605
Phone (706) 369-0583

1135 Cedar Shoals Dr
Ste A
Athens, GA 30605
Phone (706) 369-0583

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503360000000",
    "number": "1235201013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 CEDAR SHOALS DR",
            "address_2": "BUILDING 6 SUITE A",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306055299",
            "telephone_number": "706-369-9592",
            "fax_number": "706-369-9592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 CEDAR SHOALS DR",
            "address_2": "BLDG 6 SUITE A",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306055299",
            "telephone_number": "706-369-0583",
            "fax_number": "706-369-9592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANSFORD PHARMACY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2017-08-22",
        "status": "A",
        "authorized_official_last_name": "HANSFORD",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "OWNER PHARMACY MNGR",
        "authorized_official_telephone_number": "706-369-3050",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail 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": "GA",
            "license": "PHRE007982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00734126A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2020501",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ATHENS INFUSION AND PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Athens, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.