Active NPI
Reff Drugs Inc
- Community/Retail Pharmacy
- Jonesboro, GA
National Provider Identifier
1265587901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHRE009119
- Legal business name
- REFF DRUGS INC
- Practice address
- 188 Upper Riverdale Rd
#C
Jonesboro, GA 30236-1108 - Phone
- (770) 603-5555
- Fax
- (770) 603-5565
- NPI assigned
- Jan 24, 2007
- 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
- Ola Reffell, RPH
- Title
- Pic
- Phone
- (770) 603-5555
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PHRE009119 | GA | Primary |
| Long Term Care Pharmacy | 3336L0003X | |||
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
188 Upper Riverdale Rd
#C
Jonesboro, GA 30236-1108
Mailing address
751 Woodmont Dr
Marietta, GA 30062-3834
Phone (404) 840-9934
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2016469 | Other | PK | |
| 143081001A | Medicaid | GA |
Other names 1
- ARROWHEAD HEALTH MART 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 |
|---|---|---|---|---|
| O20201103001605 | GA | Part B Supplier - Independent Clinical Laboratory | 0840600862 | Practice locations: Jonesboro, GA |
| O20201105000463 | GA | Part B Supplier - Mass Immunization (Roster Biller Only) | 0840600862 | Practice locations: Jonesboro, GA |
National Provider Directory
National Provider Directory- Tax ID family
- Reff Drugs Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinic Pharmacy
- Jonesboro, GA
- NPI 1376160747
Locations
188 Upper Riverdale Rd
Ste C
Jonesboro, GA 30236
Phone (770) 603-5555
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.
-
- Clinic Pharmacy
- Jonesboro, GA
- NPI 1376160747
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1481846400000",
"number": "1265587901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "751 WOODMONT DR",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300623834",
"telephone_number": "404-840-9934",
"fax_number": "770-603-5565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "188 UPPER RIVERDALE RD",
"address_2": "#C",
"city": "JONESBORO",
"state": "GA",
"postal_code": "302361108",
"telephone_number": "770-603-5555",
"fax_number": "770-603-5565"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REFF DRUGS INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-24",
"last_updated": "2016-12-16",
"status": "A",
"authorized_official_last_name": "REFFELL",
"authorized_official_first_name": "OLA",
"authorized_official_title_or_position": "PIC",
"authorized_official_telephone_number": "770-603-5555",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "GA",
"license": "PHRE009119",
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2016469",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "143081001A",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ARROWHEAD HEALTH MART PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jonesboro, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2016; 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.