Active NPI
Poly Plex Pharmacy Inc
- Durable Medical Equipment & Medical Supplies
- Atlanta, GA
National Provider Identifier
1437330487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- POLY PLEX PHARMACY INC
- Practice address
- 2596 Donald Lee Hollowell Pkwy NW
Atlanta, GA 30318-8300 - Phone
- (404) 799-3315
- Fax
- (404) 799-3375
- NPI assigned
- Nov 19, 2007
- Organization subpart
- Yes
- Parent organization
- POLY PLEX PHARMACY INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Pauline Badiki
- Title
- President
- Phone
- (404) 799-3315
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
2596 Donald Lee Hollowell Pkwy NW
Atlanta, GA 30318-8300
Mailing address
2596 Donald Lee Hollowell Pkwy NW
Atlanta, GA 30318-8300
Phone (404) 799-3315
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0893254001 | Other | GA | BCBS |
| 543734369A | Medicaid | GA |
National Provider Directory
National Provider Directory- Part of
- Poly-Plex Pharmacy Inc
Locations
2596 Donald Lee Hollowell Pkwy NW
Atlanta, GA 30318
Phone (404) 543-9163
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Community/Retail Pharmacy
- Atlanta, GA
- NPI 1366545428
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195430400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1195430400000",
"number": "1437330487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2596 DONALD LEE HOLLOWELL PKWY NW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303188300",
"telephone_number": "404-799-3315",
"fax_number": "404-799-3375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2596 DONALD LEE HOLLOWELL PKWY NW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303188300",
"telephone_number": "404-799-3315",
"fax_number": "404-799-3375"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "POLY PLEX PHARMACY INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "POLY PLEX PHARMACY INC",
"enumeration_date": "2007-11-19",
"last_updated": "2007-11-19",
"status": "A",
"authorized_official_last_name": "BADIKI",
"authorized_official_first_name": "PAULINE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "404-799-3315"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0893254001",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "543734369A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
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 Nov 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.