Organization Active NPI

Reff Drugs Inc

  • Community/Retail Pharmacy
  • Jonesboro, GA
National Provider Identifier
1265587901
Registry record updated Dec 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHRE009119 Issued in GA
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

Updated by the provider on Dec 16, 2016

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2016469OtherPK
143081001AMedicaidGA

Other names 1

  • ARROWHEAD HEALTH MART PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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.

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.

Verify at the official NPI Registry.