Organization Active NPI

Market Pharmacy Inc

Doing business as Market Pharmacy

  • Community/Retail Pharmacy
  • Atlanta, GA
National Provider Identifier
1396761243
Registry record updated Mar 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHRE008193 Issued in GA
Legal business name
MARKET PHARMACY INC
Doing business as
Market Pharmacy
Practice address
209 Edgewood Ave SE
Atlanta, GA 30303-3012
Phone
(404) 524-8888
Fax
(404) 524-9999
NPI assigned
Jul 14, 2006
Last updated
Mar 23, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2015

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

Authorized official

Name
Roger Naik
Title
President
Phone
(770) 630-4037

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHRE008193 GA Primary

Addresses

Primary practice location

209 Edgewood Ave SE
Atlanta, GA 30303-3012

Mailing address

2441 Lockerly Pass
Duluth, GA 30097-4340
Phone (770) 630-4037

Other identifiers 2

IdentifierTypeStateIssuer
00770921AMedicaidGA
2020191OtherPK

Other names 1

  • MARKET PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

209 Edgewood Ave SE
Atlanta, GA 30303
Phone (404) 524-8888

Practitioners & affiliated clinicians

Practitioners 1

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": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427068800000",
    "number": "1396761243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2441 LOCKERLY PASS",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300974340",
            "telephone_number": "770-630-4037",
            "fax_number": "404-524-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 EDGEWOOD AVE SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303033012",
            "telephone_number": "404-524-8888",
            "fax_number": "404-524-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARKET PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2015-03-23",
        "status": "A",
        "authorized_official_last_name": "NAIK",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-630-4037"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE008193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00770921A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2020191",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARKET PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; 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.