East Marietta Drug Co Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

1112072 Issued in GA

Legal business name

EAST MARIETTA DRUG CO INC

Practice address

1480 Roswell Rd
Marietta, GA 30062-3670

Phone

(770) 973-7600

Fax

(770) 973-3032

NPI assigned

Jun 1, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Pamala Smith Marquess, PHARMD

Title

Secretary

Phone

(770) 973-7600

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345161600000",
    "number": "1396747580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 ROSWELL RD",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300623670",
            "telephone_number": "770-973-7600",
            "fax_number": "770-973-3032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 ROSWELL RD",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300623670",
            "telephone_number": "770-973-7600",
            "fax_number": "770-973-3032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST MARIETTA DRUG CO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-01",
        "last_updated": "2012-08-17",
        "status": "A",
        "authorized_official_last_name": "MARQUESS",
        "authorized_official_first_name": "PAMALA",
        "authorized_official_middle_name": "SMITH",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "770-973-7600",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "GA",
            "license": "0831400001",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "GA",
            "license": "1112072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00026342B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00026342A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "1112072",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• East Cobb Relationship Center
• East Cobb Therapy Center LLC
• East Cobb Therapy Solutions, LLC
• East Cobb Urgent Care, LLC
• East Cobb Wellness Center
• East Marietta Drug Company, Inc
• East Marietta Drugs, Inc.
• East Marietta Family Dentistry
• Allison Eastep, MS, CCC-SLP
• Stacy Eberhart, NNP-BC

• Pharmacy in Marietta, GA
• Providers in Marietta, GA by specialty
• Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.