Coweta-Fulton Drugs LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

COWETA-FULTON DRUGS LLC

Doing business as

Palmetto Pharmacy, LTC

Practice address

202 Fayetteville Rd
Palmetto, GA 30268-1339

Phone

(770) 703-5027

Fax

(770) 703-3751

NPI assigned

Apr 16, 2025

Organization subpart

No

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

Authorized official

Name

Harry Joseph BurgNPI 1770115396

Title

Sole Member

Phone

(706) 714-3483

Specialties & licenses 1

Addresses

Other names 1

• Palmetto Pharmacy, LTC Doing business as

Tax ID family

Coweta-Fulton Drugs LLC2 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.

• Coweta-Fulton Drugs LLC

  • Community/Retail Pharmacy
  • Palmetto, GA
  • NPI 1669140786
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Harry Joseph Burg III, RPH, PHARMD

  • Pharmacist
  • Newnan, GA
  • NPI 1770115396
  NPD Authorized official

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

{
    "created_epoch": "1744761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744761600000",
    "number": "1285420349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 FAYETTEVILLE RD",
            "city": "PALMETTO",
            "state": "GA",
            "postal_code": "302681339",
            "telephone_number": "770-703-5027",
            "fax_number": "770-703-3751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 FAYETTEVILLE RD",
            "city": "PALMETTO",
            "state": "GA",
            "postal_code": "302681339",
            "telephone_number": "770-703-5027",
            "fax_number": "770-703-3751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COWETA-FULTON DRUGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-16",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A",
        "authorized_official_last_name": "BURG",
        "authorized_official_first_name": "HARRY",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "706-714-3483"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palmetto Pharmacy, LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yesenia Carrillo, LCSW
• Clementines Home Healthcare LLC
• Cliniccore
• Naturel Cordova
• Kelsey Cossio, RDN
• Coweta-Fulton Drugs LLC
• Aaliyah Dorsey
• Denesha Duncan, CSW, PMSW, PMHP
• Each One Reach One Transportation Service, LLC
• Mary Morrell Early, LCSW

• Long Term Care Pharmacy in Palmetto, GA
• Providers in Palmetto, 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 Apr 16, 2025; 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.