Pharmacy Partners of Ga

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

9208 Issued in GA

Legal business name

PHARMACY PARTNERS OF GA

Practice address

2105 Barrett Park Dr NW
Suite 101
Kennesaw, GA 30144-7080

Phone

(678) 797-9067

NPI assigned

Jun 8, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Ted H Hunt, RPH

Title

Executive Director

Phone

(678) 797-9067

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Medeasy, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Rome, GA
  • NPI 1427026525

  Member Of

  NPD member

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Lavender Mountain Senior Living, Inc.

  dba Magnolia Place Nursing and Rehabilitation

  • Skilled Nursing Facility
  • Rome, GA
  • NPI 1124633268

  Adp of the SNF

  CMS ownership

Practitioners 3

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

• Adam Todd Mills, PHARM. D

  • Pharmacist
  • Kennesaw, GA
  • NPI 1033490719
  NPD
• Glenda Michelle Hunt, CPHT

  • Pharmacy Technician
  • Kennesaw, GA
  • NPI 1710572425
  NPD (past)
• James M Reed Jr., RPH

  • Geriatric Pharmacist
  • Kennesaw, GA
  • NPI 1902000292
  NPD (past)

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614124800000",
    "number": "1285837922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 BARRETT PARK DR NW",
            "address_2": "SUITE 101",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301447080",
            "telephone_number": "678-797-9067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 BARRETT PARK DR NW",
            "address_2": "SUITE 101",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301447080",
            "telephone_number": "678-797-9067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY PARTNERS OF GA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-08",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A",
        "authorized_official_last_name": "HUNT",
        "authorized_official_first_name": "TED",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "678-797-9067",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "GA",
            "license": "9208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "9208",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Shane Peterson, M.D
• Renee F Peterson, PT, DPT
• Karen Elizabeth Pfeifer, MS, ATC, LAT
• Tram Anh T Pham
• Heather Pharis
• Brandi Christine Phavorachith, DC
• Letitia Phillips, FNP-BC
• Patricia Phillips, SLP
• Tyrhonda Phinnessee, LPC
• Physician Assistant Surgical Solutions

• Long Term Care Pharmacy in Kennesaw, GA
• Providers in Kennesaw, 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 Feb 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.