Specialty Care, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE010292 Issued in GA

Legal business name

SPECIALTY CARE, LLC

Practice address

4229 1St Ave Ste B
Tucker, GA 30084-4469

Phone

(770) 496-8998

NPI assigned

May 24, 2016

Organization subpart

No

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

Authorized official

Name

Amit Raval

Title

President

Phone

(770) 496-8998

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1464048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468368000000",
    "number": "1548617137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4229 1ST AVE STE B",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844469",
            "telephone_number": "770-496-8998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4229 1ST AVE STE B",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844469",
            "telephone_number": "770-496-8998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-24",
        "last_updated": "2016-07-13",
        "status": "A",
        "authorized_official_last_name": "RAVAL",
        "authorized_official_first_name": "AMIT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-496-8998"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE010292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003176651A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Helayne Solomon, M.ED., CCC-SLP
• David H Song, MD FACE
• Dialyn L Soto-Barreto, MD
• Southern Comfort Hospice, LLC
• Southern Health Management Inc
• Speech Spa, LLC.
• Lily Spencer, MSW
• William Edward Spencer, MA, LAPC
• Caroline Ekwurtzel Spillers
• Spine and Orthopedics of Atlanta, LLC

• Community/Retail Pharmacy in Tucker, GA
• Providers in Tucker, 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 Jul 13, 2016; 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.