Champine Discount Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

CHAMPINE DISCOUNT PHARMACY

Practice address

3369 Buford Hwy NE Ste 830a
Brookhaven, GA 30329-1742

Phone

(404) 963-2469

Fax

(404) 963-2362

NPI assigned

Nov 21, 2022

Organization subpart

No

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

Authorized official

Name

Sepeda Willis

Title

Manager

Phone

(470) 331-6340

Specialties & licenses 1

Addresses

Other names 1

• Champine discount pharmacy Doing business as

Locations

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

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668988800000",
    "number": "1457060220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3369 BUFORD HWY NE STE 830A",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303291742",
            "telephone_number": "404-963-2469",
            "fax_number": "404-963-2362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3369 BUFORD HWY NE STE 830A",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303291742",
            "telephone_number": "404-963-2469",
            "fax_number": "404-963-2362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPINE DISCOUNT PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-21",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-19",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "SEPEDA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "470-331-6340"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Champine discount pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Monica Yvonne Castro, MSN, FNP-BC
• Catalyst for Change Atlanta, LLC
• Jessica Anne Catchpole, APC
• Sarah Caveney
• Centrespring MD
• Fredericka Chappell, RBT
• Nancy D Chase, PHD., LCSW
• Kevin Crawford Chatmon, PHARM.D.
• Heba Gill Chaudhry, DO
• Dairlyn J Chelette, MSW LCSW

• Community/Retail Pharmacy in Brookhaven, GA
• Providers in Brookhaven, GA by specialty
• Community/Retail Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; 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.