Poly-Plex Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

POLY-PLEX PHARMACY INC

Doing business as

Poly-Plex Pharmacy Inc

Practice address

2596 Donald Lee Hollowell Pkwy NW
Atlanta, GA 30318-8300

Phone

(404) 799-3315

Fax

(404) 799-3375

NPI assigned

Sep 6, 2006

Organization subpart

No

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

Authorized official

Name

Uchenna Mgbelu

Title

Ceo

Phone

(404) 799-3315

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• Poly-Plex Pharmacy Inc Doing business as

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Poly Plex Pharmacy Inc

  • Durable Medical Equipment & Medical Supplies
  • Atlanta, GA
  • NPI 1437330487
  NPPES parent name

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686182400000",
    "number": "1366545428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2596 DONALD LEE HOLLOWELL PKWY NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303188300",
            "telephone_number": "404-799-3315",
            "fax_number": "404-799-3375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2596 DONALD LEE HOLLOWELL PKWY NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303188300",
            "telephone_number": "404-799-3315",
            "fax_number": "404-799-3375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLY-PLEX PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A",
        "authorized_official_last_name": "MGBELU",
        "authorized_official_first_name": "UCHENNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-799-3315"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2129682",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "543734369A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Poly-Plex Pharmacy Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Poly-Plex Pharmacy Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Clemlyn-Ann Pollydore, MD
• Venkateshwar Polsani, MD
• David Alangadan Polson, PT, DPT
• Josh Polus, AA-C
• Poly Plex Pharmacy Inc
• Shahena Michelle Polynice, MD
• Emilia Poma
• Leah Galloway Pombo, WHNP
• Veronica Pomeranz, LPC
• Adam Pomerleau, M.D.

• 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 Jun 8, 2023; 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.