Organization Active NPI

University Cancer & Blood Center LLC

  • Community/Retail Pharmacy
  • Athens, GA
National Provider Identifier
1376682849
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
UNIVERSITY CANCER & BLOOD CENTER LLC
Practice address
3320 Old Jefferson Rd BLDG 800a
Athens, GA 30607-1400
Phone
(706) 353-4344
Fax
(706) 353-4355
NPI assigned
Feb 5, 2007
Last updated
Apr 2, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
UNIVERSITY CANCER & BLOOD CENTER, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Authorized official

Name
Cassandra RileyNPI 1790374353
Title
Pharmacy
Phone
(706) 353-4344

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

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

Addresses

Primary practice location

3320 Old Jefferson Rd BLDG 800a
Athens, GA 30607-1400

Mailing address

3320 Old Jefferson Rd BLDG 700a
Athens, GA 30607-1400
Phone (706) 353-4344

Other identifiers 2

IdentifierTypeStateIssuer
1153054OtherGANCPDP
469992514BMedicaidGA

Other names 1

  • Northeast Georgia Cancer Care, LLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160113002683 GA Part B Supplier - Mass Immunization (Roster Biller Only) 0345293866 Practice locations: Athens, GA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
University Cancer & Blood Center, L3320 Old Jefferson Rd, Athens, GA 30607-1465(706) 353-4344 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Jan 1, 2024

National Provider Directory

National Provider Directory
Tax ID family
Univ Cancer Blood Ctr LLC4 organizations share this tax ID, including this one
Part of
Univ Cancer Blood Ctr LLC

Other organizations with this tax ID 3

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

Locations

3320 Old Jefferson Rd
Bldg 700A
Athens, GA 30607
Phone (706) 353-4344

3320 Old Jefferson Rd
Bldg 800A
Athens, GA 30607
Phone (706) 353-4344

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775088000000",
    "number": "1376682849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 OLD JEFFERSON RD BLDG 700A",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306071400",
            "telephone_number": "706-353-4344",
            "fax_number": "706-353-4355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 OLD JEFFERSON RD BLDG 800A",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306071400",
            "telephone_number": "706-353-4344",
            "fax_number": "706-353-4355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY CANCER & BLOOD CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY CANCER & BLOOD CENTER, LLC",
        "enumeration_date": "2007-02-05",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_title_or_position": "PHARMACY",
        "authorized_official_telephone_number": "706-353-4344"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1153054",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "469992514B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northeast Georgia Cancer Care, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Northeast Georgia Cancer Care, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Athens, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.