Prime Pharmaceuticals and Compounding Pharmacy

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

PRIME PHARMACEUTICALS AND COMPOUNDING PHARMACY

Practice address

5505 Peachtree Dunwoody Rd Ste G95
Atlanta, GA 30342-1758

Phone

(404) 259-9656

Fax

(888) 491-5616

NPI assigned

Jul 22, 2024

Last updated

Jul 22, 2024By 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

Arezoo AkhavanNPI 1407638869

Title

Owner / Pic

Phone

(404) 250-9656

Specialties & licenses 1

Addresses

Tax ID family

Prime Pharmaceuticals and Compounding 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.

• Prime Pharmaceuticals and Compounding Pharmacy

  • Community/Retail Pharmacy
  • Atlanta, GA
  • NPI 1841214103
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Arezoo Akhavan, RPH

  • Pharmacist
  • Atlanta, GA
  • NPI 1407638869
  NPD Authorized official

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

{
    "created_epoch": "1721606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721606400000",
    "number": "1457189540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5505 PEACHTREE DUNWOODY RD STE G95",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421758",
            "telephone_number": "404-259-9656",
            "fax_number": "888-491-5616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 PEACHTREE DUNWOODY RD STE G95",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421758",
            "telephone_number": "404-259-9656",
            "fax_number": "888-491-5616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME PHARMACEUTICALS AND COMPOUNDING PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-22",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A",
        "authorized_official_last_name": "AKHAVAN",
        "authorized_official_first_name": "AREZOO",
        "authorized_official_title_or_position": "OWNER / PIC",
        "authorized_official_telephone_number": "404-250-9656"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prime Care Transportation Provider Corporation
• Prime Comfort Care LLC
• Prime Community Health Group
• Prime Integrative Healthcare
• Prime Intergrative Healthcare Inc (Prime Integrative Healthcare)
• Prime Pharmaceuticals and Compounding Pharmacy
• Primecare Providers LLC
• Primedoc Ga LLC
• Primera Health and Wellness
• Primetime Lab Solutions

• Long Term Care Pharmacy in Atlanta, GA
• Providers in Atlanta, 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 Jul 22, 2024; 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.