Organization Active NPI

Wellstar Health System, Inc.

Doing business as Windy Hill Apothecary

  • Pharmacist
  • Marietta, GA
National Provider Identifier
1407921653
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH014647 Issued in GA
Legal business name
WELLSTAR HEALTH SYSTEM, INC.
Doing business as
Windy Hill Apothecary
Practice address
2520 Windy Hill Road
Suite 203a
Marietta, GA 30067-8664
Phone
(770) 644-1005
Fax
(770) 644-1008
NPI assigned
Nov 22, 2006
Last updated
Jun 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Mr. Louis Wooten Little
Title
Vice President and Administration
Phone
(770) 644-1090

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PHRE005383 GA
Pharmacist 183500000X RPH014647 GA Primary

Addresses

Primary practice location

2520 Windy Hill Road
Suite 203a
Marietta, GA 30067-8664

Mailing address

2520 Windy Hill Road
Suite 203a
Marietta, GA 30067-8664
Phone (770) 644-1005

Other identifiers 1

IdentifierTypeStateIssuer
1136628OtherGANABP

Other names 1

  • Windy Hill Apothecary Doing business as

National Provider Directory

National Provider Directory

Locations

2520 Windy Hill Rd SE
Ste 203A
Marietta, GA 30067
Phone (770) 644-1005

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1407921653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 WINDY HILL ROAD",
            "address_2": "SUITE 203A",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678664",
            "telephone_number": "770-644-1005",
            "fax_number": "770-644-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 WINDY HILL ROAD",
            "address_2": "SUITE 203A",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678664",
            "telephone_number": "770-644-1005",
            "fax_number": "770-644-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSTAR HEALTH SYSTEM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "LITTLE",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "WOOTEN",
        "authorized_official_title_or_position": "VICE PRESIDENT AND ADMINISTRATION",
        "authorized_official_telephone_number": "770-644-1090",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "PHRE005383",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH014647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "1136628",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Windy Hill Apothecary",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.