Camp Creek Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE009735 Issued in GA

Legal business name

CAMP CREEK PHARMACY LLC

Doing business as

Camp Creek Pharmacy

Practice address

3886 Princeton Lakes Way SW Ste 180
Atlanta, GA 30331-5511

Phone

(404) 494-8010

Fax

(404) 494-8025

NPI assigned

Mar 10, 2011

Last updated

Apr 20, 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

Sofia FarahNPI 1407451792

Title

Owner/Pharmacist

Phone

(832) 818-8187

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Camp Creek Pharmacy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sofia Osman Farah

  • Pharmacist
  • Covington, GA
  • NPI 1407451792
  NPD Authorized official

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

{
    "created_epoch": "1299715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334880000000",
    "number": "1285932566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5885",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311070885",
            "telephone_number": "404-494-8010",
            "fax_number": "404-494-8025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3886 PRINCETON LAKES WAY SW STE 180",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303315511",
            "telephone_number": "404-494-8010",
            "fax_number": "404-494-8025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMP CREEK PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-10",
        "last_updated": "2012-04-20",
        "status": "A",
        "authorized_official_last_name": "FARAH",
        "authorized_official_first_name": "SOFIA",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "832-818-8187"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE009735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1161152",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Camp Creek Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Camille Davis-Williams, M.D., P.C. (Greater Atlanta Women's Healthcare)
• Martine Camille, M.D.
• Deanna Hortman Camilo, DPT
• Camp Creek LLC
• Camp Creek Pediatrics LLC
• Camp Creek Primary Care, PC
• Camp Creek Smiles
• Camp Creek Smiles Family Dentistry
• Camp Creek Urgent Care LLC (MedPost Urgent Care - Camp Creek)
• Camp Creek Village Pharmacy Inc. (Butner Village Pharmacy)

• Community/Retail Pharmacy in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Community/Retail Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.