Active NPI
Hansford Pharmacy Services LLC
- Long Term Care Pharmacy
- Athens, GA
National Provider Identifier
1235201013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- PHRE007982
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00734126A | Medicaid | GA | |
| 2020501 | Other | PK |
Other names 1
- ATHENS INFUSION AND PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930097959 | GA | DME Supplier - Pharmacy | 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 NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Hansford Pharmacy Services LLC | 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 assignment |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Monroe, GA
- NPI 1245230739
-
- Pharmacist
- Athens, GA
- NPI 1932977956
-
- Pharmacist
- Athens, GA
- NPI 1881462810
-
- Pharmacist
- Athens, GA
- NPI 1306158332
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.