Organization Active NPI

Saint Josephs Hospital of Atlanta Inc

  • Community/Retail Pharmacy
  • Atlanta, GA
National Provider Identifier
1497724181
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHRE009983 Issued in GA
Legal business name
SAINT JOSEPHS HOSPITAL OF ATLANTA INC
Practice address
5671 Peachtree Dunwoody Rd
Suite 200
Atlanta, GA 30342-5000
Phone
(678) 843-7400
Fax
(678) 843-7464
NPI assigned
Mar 15, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Lisa Urbistondo
Title
VP/Cfo
Phone
(404) 501-5025

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners 34

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

View all 34

National Provider Directory

National Provider Directory

Locations

5671 Peachtree Dunwoody Rd
Ste 100
Sandy Springs, GA 30342
Phone (404) 257-2450

5671 Peachtree Dunwoody Rd
Ste 200
Sandy Springs, GA 30342
Phone (404) 851-7400

5673 Peachtree Dunwoody Rd
Ste 650
Sandy Springs, GA 30342
Phone (678) 843-5801

5665 Peachtree Dunwoody Rd
Ste 300A
Sandy Springs, GA 30342
Phone (678) 843-6301

5673 Peachtree Dunwoody Rd
Ste 175
Sandy Springs, GA 30342
Phone (678) 843-7470

5673 Peachtree Dunwoody Rd
Ste 490
Sandy Springs, GA 30342
Phone (404) 851-7633

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHRE009983 GA Primary

Addresses

NPPES NPI Registry

Primary practice location

5671 Peachtree Dunwoody Rd
Suite 200
Atlanta, GA 30342-5000

Mailing address

5671 Peachtree Dunwoody Rd
Suite 200
Atlanta, GA 30342-5000
Phone (678) 843-7400

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
2014008OtherPK
00146176A1MedicaidGA

Other names 1

NPPES NPI Registry
  • ST JOSEPHS APOTHECARY Doing business as

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 8, 2024.

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715126400000",
    "number": "1497724181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5671 PEACHTREE DUNWOODY RD",
            "address_2": "SUITE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303425000",
            "telephone_number": "678-843-7400",
            "fax_number": "678-843-7464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5671 PEACHTREE DUNWOODY RD",
            "address_2": "SUITE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303425000",
            "telephone_number": "678-843-7400",
            "fax_number": "678-843-7464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT JOSEPHS HOSPITAL OF ATLANTA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-15",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A",
        "authorized_official_last_name": "URBISTONDO",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "VP/CFO",
        "authorized_official_telephone_number": "404-501-5025"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE009983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2014008",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00146176A1",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "ST JOSEPHS APOTHECARY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.