Organization Active NPI

C & S Healthcare , Inc.

  • Long Term Care Pharmacy
  • Decatur, GA
National Provider Identifier
1306834874
Registry record updated Mar 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
PHHH000041 Issued in GA
Legal business name
C & S HEALTHCARE , INC.
Practice address
5360 Snapfinger Woods Dr
Suite 128
Decatur, GA 30035-4046
Phone
(404) 289-4088
Fax
(404) 289-4039
NPI assigned
Oct 10, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2010

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

Authorized official

Name
Mr. Dechane Lee Cameron
Title
Director
Phone
(404) 289-4088

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 20015628522 GA
Long Term Care Pharmacy 3336L0003X PHHH000041 GA Primary

Addresses

Primary practice location

5360 Snapfinger Woods Dr
Suite 128
Decatur, GA 30035-4046

Mailing address

5360 Snapfinger Woods Dr
Suite 128
Decatur, GA 30035-4046
Phone (404) 289-4088

Other identifiers 1

IdentifierTypeStateIssuer
992258537AMedicaidGA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268784000000",
    "number": "1306834874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5360 SNAPFINGER WOODS DR",
            "address_2": "SUITE 128",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300354046",
            "telephone_number": "404-289-4088",
            "fax_number": "404-289-4039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5360 SNAPFINGER WOODS DR",
            "address_2": "SUITE 128",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300354046",
            "telephone_number": "404-289-4088",
            "fax_number": "404-289-4039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C & S HEALTHCARE , INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-10",
        "last_updated": "2010-03-17",
        "status": "A",
        "authorized_official_last_name": "CAMERON",
        "authorized_official_first_name": "DECHANE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "404-289-4088",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "20015628522",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "GA",
            "license": "PHHH000041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "992258537A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2010; 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.