Organization Active NPI

Poly Plex Pharmacy Inc

  • Durable Medical Equipment & Medical Supplies
  • Atlanta, GA
National Provider Identifier
1437330487
Registry record updated Nov 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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 INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 19, 2007

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0893254001OtherGABCBS
543734369AMedicaidGA

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.

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.

Verify at the official NPI Registry.