NPIMap

Organization Active NPI

Cobb Hospital Inc

Doing business as WellStar Pharmacy Network #9

  • Pharmacy
  • Smyrna, GA
National Provider Identifier
1235658030
Registry record updated Feb 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PHRE010372 Issued in GA
Legal business name
COBB HOSPITAL INC
Doing business as
WellStar Pharmacy Network #9
Practice address
4441 Atlanta Rd SE Ste 113
Smyrna, GA 30080-6537
Phone
(470) 956-0400
Fax
(678) 842-5530
NPI assigned
Sep 12, 2017
Last updated
Feb 24, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2020

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

Authorized official

Name
Kareema Danella Abdul-Barr, RPH
Title
Executive Director
Phone
(470) 644-0392

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHRE010372 GA Primary

Addresses

Primary practice location

4441 Atlanta Rd SE Ste 113
Smyrna, GA 30080-6537

Mailing address

4441 Atlanta Rd SE Ste 113
Smyrna, GA 30080-6537
Phone (470) 956-0400

Other names 1

  • WellStar Pharmacy Network #9 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cobb Hosp Medical Cen4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4441 Atlanta Rd SE
Ste 113
Smyrna, GA 30080
Phone (470) 956-0400

NPI Registry JSON

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

{
    "created_epoch": "1505174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582502400000",
    "number": "1235658030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4441 ATLANTA RD SE STE 113",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806537",
            "telephone_number": "470-956-0400",
            "fax_number": "678-842-5530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4441 ATLANTA RD SE STE 113",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806537",
            "telephone_number": "470-956-0400",
            "fax_number": "678-842-5530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COBB HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-12",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A",
        "authorized_official_last_name": "ABDUL-BARR",
        "authorized_official_first_name": "KAREEMA",
        "authorized_official_middle_name": "DANELLA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "470-644-0392",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "GA",
            "license": "PHRE010372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WellStar Pharmacy Network #9",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Smyrna, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; 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.