Due West Pharmacy

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

PHRE009933 Issued in GA

Legal business name

DUE WEST PHARMACY

Doing business as

Due West Pharmacy

Practice address

3880 Due West Rd NW Ste 118
Marietta, GA 30064-1058

Phone

(770) 456-5895

Fax

(678) 540-6603

NPI assigned

Apr 6, 2018

Last updated

Apr 6, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jonathan Marquess

Title

Pharm D

Phone

(770) 456-5895

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Due West Pharmacy Doing business as

Tax ID family

Due West Pharmacy2 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.

• Due West Pharmacy, Inc

  • Community/Retail Pharmacy
  • Marietta, GA
  • NPI 1245670777
  NPD tax ID

Locations

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

{
    "created_epoch": "1522972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522972800000",
    "number": "1417454455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8612 MAIN ST",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301884829",
            "telephone_number": "678-285-0760",
            "fax_number": "770-971-0315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3880 DUE WEST RD NW STE 118",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300641058",
            "telephone_number": "770-456-5895",
            "fax_number": "678-540-6603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUE WEST PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-06",
        "last_updated": "2018-04-06",
        "status": "A",
        "authorized_official_last_name": "MARQUESS",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "PHARM D",
        "authorized_official_telephone_number": "770-456-5895"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "GA",
            "license": "PHRE009933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003139336A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2176460",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Due West Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kellie Duckworth, CRNA
• Patricia G Duckworth, APRN
• Kendrick Dornell Ducre
• Gary Edward Dudley, PH.D.
• Ifeoluwa Duduyemi, LMSW
• Due West Pharmacy, Inc
• Gary C Duey, O.D.
• Jasmine Renae Duff, PT, DPT
• James Lawrence Duffy, D.C.
• Jessica Noel Dugan

• Long Term Care Pharmacy in Marietta, GA
• Providers in Marietta, GA by specialty
• Long Term Care Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2018; 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.