Active NPI
RX Healthcare LTD
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Stone Mountain, GA
National Provider Identifier
1497389597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Legal business name
- RX HEALTHCARE LTD
- Practice address
- 2136 W Park CT Ste I
Stone Mountain, GA 30087-3528 - Phone
- (470) 377-3498
- NPI assigned
- Feb 27, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ted Willis
- Title
- President
- Phone
- (404) 561-3593
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | Primary |
Addresses
Primary practice location
2136 W Park CT Ste I
Stone Mountain, GA 30087-3528
Mailing address
2136 W Park CT Ste I
Stone Mountain, GA 30087-3528
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582761600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1582761600000",
"number": "1497389597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2136 W PARK CT STE I",
"city": "STONE MOUNTAIN",
"state": "GA",
"postal_code": "300873528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2136 W PARK CT STE I",
"city": "STONE MOUNTAIN",
"state": "GA",
"postal_code": "300873528",
"telephone_number": "470-377-3498"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RX HEALTHCARE LTD",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-27",
"last_updated": "2020-02-27",
"certification_date": "2020-02-27",
"status": "A",
"authorized_official_last_name": "WILLIS",
"authorized_official_first_name": "TED",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "404-561-3593"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stone Mountain, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.