Organization Active NPI

Comfort Pharmacy Inc

  • Community/Retail Pharmacy
  • Stone Mountain, GA
National Provider Identifier
1346494838
Registry record updated May 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHRE009540 Issued in GA
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

Updated by the provider on May 31, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
003119712AMedicaidGA
1158066OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Comfort Pharmacy Inc Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.