NPIMap

Organization Active NPI

Grady Memorial Hospital Corporation

  • Pharmacy
  • Atlanta, GA
National Provider Identifier
1316788003
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
GRADY MEMORIAL HOSPITAL CORPORATION
Practice address
2805 Metropolitan Pkwy SW RM B131
Atlanta, GA 30315-7915
Phone
(404) 616-0678
Fax
(404) 616-4306
NPI assigned
Jun 5, 2024
Organization subpart
Yes
Parent organization
GRADY MEMORIAL HOSPITAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Authorized official

Name
Dr. Nicholas Michaud, PHARMD
Title
Director of Pharmacy
Phone
(603) 770-9206

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

2805 Metropolitan Pkwy SW RM B131
Atlanta, GA 30315-7915

Mailing address

2805 Metropolitan Pkwy SW RM B131
Atlanta, GA 30315-7915
Phone (404) 616-1000

Other names 1

  • Fulton County BHCC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Grady Memorial Hospital Corporation15 organizations share this tax ID, including this one
Part of
Grady Memorial Hospital Corporation

Other organizations with this tax ID 14

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

View all 14

Locations

2805 Metropolitan Pkwy SW
Rm B131
Atlanta, GA 30315
Phone (404) 616-0678

NPI Registry JSON

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

{
    "created_epoch": "1717545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717545600000",
    "number": "1316788003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 METROPOLITAN PKWY SW RM B131",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303157915",
            "telephone_number": "404-616-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 METROPOLITAN PKWY SW RM B131",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303157915",
            "telephone_number": "404-616-0678",
            "fax_number": "404-616-4306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRADY MEMORIAL HOSPITAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GRADY MEMORIAL HOSPITAL CORPORATION",
        "enumeration_date": "2024-06-05",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A",
        "authorized_official_last_name": "MICHAUD",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "603-770-9206",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fulton County BHCC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.