Organization Active NPI

Newnan Hospital

  • Long Term Care Pharmacy
  • Newnan, GA
National Provider Identifier
1396781753
Registry record updated Jun 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
007932 Issued in GA
Legal business name
NEWNAN HOSPITAL
Doing business as
NEWNAN HOSPITAL PHARMACY
Practice address
80 Jackson St
Newnan, GA 30263-1941
Phone
(770) 253-2330
Fax
(770) 254-3652
NPI assigned
Jun 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2010

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

Authorized official

Name
William Lam, PHARM D
Title
Pharmacy Dir
Phone
(770) 304-4069

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X 007932 GA Primary

Addresses

Primary practice location

80 Jackson St
Newnan, GA 30263-1941

Mailing address

PO Box 997
Newnan, GA 30264-0997
Phone (770) 252-7505

Other identifiers 2

IdentifierTypeStateIssuer
1118377OtherNCPDP PROVIDER IDENTIFICATION NUMBER
0068844319MedicaidGA

Other names 1

  • NEWNAN HOSPITAL PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Newnan Hospital2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276041600000",
    "number": "1396781753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 997",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302640997",
            "telephone_number": "770-252-7505",
            "fax_number": "770-254-3652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 JACKSON ST",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302631941",
            "telephone_number": "770-253-2330",
            "fax_number": "770-254-3652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWNAN HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2010-06-09",
        "status": "A",
        "authorized_official_last_name": "LAM",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PHARMACY DIR",
        "authorized_official_telephone_number": "770-304-4069",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "GA",
            "license": "007932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1118377",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0068844319",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEWNAN HOSPITAL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newnan, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2010; 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.