Organization Active NPI

The Louisville Project, LLC

Doing business as Barney's Pharmacy #819

  • Community/Retail Pharmacy
  • Louisville, GA
National Provider Identifier
1255623385
Registry record updated Mar 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
THE LOUISVILLE PROJECT, LLC
Doing business as
Barney's Pharmacy #819
Practice address
819 Peachtree St
Louisville, GA 30434-1449
Phone
(706) 836-8820
NPI assigned
May 9, 2011
Last updated
Mar 9, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2015

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

Authorized official

Name
Dr. Brent Hudson, PHARMDNPI 1053580993
Title
Vice President
Phone
(706) 836-8820

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

819 Peachtree St
Louisville, GA 30434-1449

Mailing address

819 Peachtree St
Louisville, GA 30434-1449
Phone (478) 625-8980

Other names 1

  • Barney's Pharmacy #819 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161227000525 GA Part B Supplier - Mass Immunization (Roster Biller Only) 1355503756 Practice locations: Louisville, GA

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1304899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425859200000",
    "number": "1255623385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 PEACHTREE ST",
            "city": "LOUISVILLE",
            "state": "GA",
            "postal_code": "304341449",
            "telephone_number": "478-625-8980",
            "fax_number": "478-625-8981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 PEACHTREE ST",
            "city": "LOUISVILLE",
            "state": "GA",
            "postal_code": "304341449",
            "telephone_number": "706-836-8820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LOUISVILLE PROJECT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-09",
        "last_updated": "2015-03-09",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "706-836-8820",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Barney's Pharmacy #819",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Louisville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.