Active NPI
Newnan Hospital
- Long Term Care Pharmacy
- Newnan, GA
National Provider Identifier
1396781753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- 007932
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1118377 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| 0068844319 | Medicaid | GA |
Other names 1
- NEWNAN HOSPITAL PHARMACY
National Provider Directory
National Provider Directory- Tax ID family
- Newnan Hospital
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Newnan, GA
- NPI 1184613358
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
- Newnan Endoscopy Center LLC
- Newnan Family Medicine Associates
- Newnan Family Medicine Associates PC
- Newnan Healthcare Services, LLC
- Newnan Hospital
- Newnan Natural Pain Relief and Wellness
- Newnan Neurology PC
- Newnan Nursing and Rehabilitation LLC
- Newnan Periodontics and Dental Implants LLC
- Newnan Periodontics LLC
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.