Budd Terrace Pharmacy

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

PHRE009863 Issued in GA

Legal business name

BUDD TERRACE PHARMACY

Practice address

1833 Clifton Rd NE
Room 115
Atlanta, GA 30329-4021

Phone

(404) 728-6807

NPI assigned

Oct 8, 2012

Last updated

Oct 8, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Hanichen

Title

Director of Pharmacy

Phone

(404) 728-6807

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1349654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349654400000",
    "number": "1255683843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1833 CLIFTON RD NE",
            "address_2": "ROOM 115",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303294021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1833 CLIFTON RD NE",
            "address_2": "ROOM 115",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303294021",
            "telephone_number": "404-728-6807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUDD TERRACE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-08",
        "last_updated": "2012-10-08",
        "status": "A",
        "authorized_official_last_name": "HANICHEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "404-728-6807"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "GA",
            "license": "PHRE009863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTROLLED SUBSTANCE REGISTRATION CERTIFICATE",
            "identifier": "FB3481998",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA BOARD OF PHARMACY",
            "identifier": "PHRE009863",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Buckley, LCSW
• Brenda A Buckner, NP
• Caroline Buckner
• Josephine Buclez
• Bud & Blossom Therapeutics, LLC
• Bill Eli Budd, PH.D
• Tala Budeir
• Gaurav Budhrani, M.D.
• Kevin A Budman, MD
• Allison Budnick, PHARM D

• Long Term Care Pharmacy in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Long Term Care Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2012; 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.