TLC Pharmacy Services, Inc.

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

PHRE008047 Issued in GA

Legal business name

TLC PHARMACY SERVICES, INC.

Doing business as

TLC Pharmacy Services, Inc.

Practice address

5231 Cleveland Hwy
Clermont, GA 30527-2205

Phone

(770) 983-1495

Fax

(770) 983-9580

NPI assigned

Jun 24, 2015

Last updated

Jun 24, 2015By 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

Ronnie Cain

Title

President

Phone

(770) 983-1495

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• TLC Pharmacy Services, Inc. Doing business as

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

{
    "created_epoch": "1435104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435104000000",
    "number": "1447632641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 410",
            "city": "CLERMONT",
            "state": "GA",
            "postal_code": "305270410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5231 CLEVELAND HWY",
            "city": "CLERMONT",
            "state": "GA",
            "postal_code": "305272205",
            "telephone_number": "770-983-1495",
            "fax_number": "770-983-9580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC PHARMACY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-24",
        "last_updated": "2015-06-24",
        "status": "A",
        "authorized_official_last_name": "CAIN",
        "authorized_official_first_name": "RONNIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-983-1495"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "GA",
            "license": "PHRE008047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2152722",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TLC Pharmacy Services, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley Morgan Smith
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• Robert E. Taylor, D.O.
• Terry E Roberts
• Kimberly Thompson, PMHNP-BC, FNP-C
• Wauka Mountain Pharmacy Inc (Wauka Mountain Pharmacy)
• Hannah Rose White, CCC-SLP
• Jennifer Carter Wiegand, ACNP
• Hillary Caroline Wood, PT, DPT
• Shweta Woodsmall, PHARM D

• Compounding Pharmacy in Clermont, GA
• Providers in Clermont, GA by specialty
• Compounding Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2015; 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.