Active NPI
Comfort Pharmacy Inc
- Community/Retail Pharmacy
- Stone Mountain, GA
National Provider Identifier
1346494838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHRE009540
- Legal business name
- COMFORT PHARMACY INC
- Practice address
- 870 Main St
Stone Mountain, GA 30083-3621 - Phone
- (770) 469-4040
- Fax
- (770) 469-4088
- NPI assigned
- Nov 10, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Osa Okojie
- Title
- Owner
- Phone
- (770) 329-8454
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PHRE009540 | GA | Primary |
Addresses
Primary practice location
870 Main St
Stone Mountain, GA 30083-3621
Mailing address
870 Main St
Stone Mountain, GA 30083-3621
Phone (770) 469-4040
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003119712A | Medicaid | GA | |
| 1158066 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- Comfort Pharmacy Inc
National Provider Directory
National Provider DirectoryLocations
870 Main St
Stone Mountain, GA 30083
Phone (770) 469-4040
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Stone Mountain, GA
- NPI 1043462575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226275200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1338422400000",
"number": "1346494838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "870 MAIN ST",
"city": "STONE MOUNTAIN",
"state": "GA",
"postal_code": "300833621",
"telephone_number": "770-469-4040",
"fax_number": "770-469-4088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "870 MAIN ST",
"city": "STONE MOUNTAIN",
"state": "GA",
"postal_code": "300833621",
"telephone_number": "770-469-4040",
"fax_number": "770-469-4088"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMFORT PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-10",
"last_updated": "2012-05-31",
"status": "A",
"authorized_official_last_name": "OKOJIE",
"authorized_official_first_name": "OSA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "770-329-8454"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "GA",
"license": "PHRE009540",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003119712A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "1158066",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Comfort Pharmacy Inc",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Stone Mountain, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.