NPIMap

Organization Active NPI

Publix Pharmacy

  • Pharmacy
  • Alpharetta, GA
National Provider Identifier
1487055976
Registry record updated Sep 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
RPH027645 Issued in GA
Legal business name
PUBLIX PHARMACY
Practice address
4305 State Bridge Rd
Alpharetta, GA 30022-4471
Phone
(770) 751-7997
NPI assigned
Sep 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2014

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

Authorized official

Name
Alireza LavassaniNPI 1336693092
Title
Pharmacist
Phone
(404) 587-8099

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X RPH027645 GA Primary

Addresses

Primary practice location

4305 State Bridge Rd
Alpharetta, GA 30022-4471

Mailing address

195 Saddle Bridge Dr
Alpharetta, GA 30022-8128

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410825600000",
    "number": "1487055976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 SADDLE BRIDGE DR",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300228128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4305 STATE BRIDGE RD",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300224471",
            "telephone_number": "770-751-7997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUBLIX PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-16",
        "last_updated": "2014-09-16",
        "status": "A",
        "authorized_official_last_name": "LAVASSANI",
        "authorized_official_first_name": "ALIREZA",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "404-587-8099"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "GA",
            "license": "RPH027645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; 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.