Pride Medical Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE007491 Issued in GA

Legal business name

PRIDE MEDICAL INC

Doing business as

Pride Pharmacy

Practice address

3280 Howell Mill Rd NW
Suite 326
Atlanta, GA 30327-4111

Phone

(404) 355-3788

Fax

(678) 244-2157

NPI assigned

Sep 12, 2006

Last updated

Dec 18, 2013By 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

Dr. Jason Nash, PHARMDNPI 1376812834

Title

Director of Pharmacy

Phone

(404) 355-3788

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• PRIDE PHARMACY Doing business as

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.

• Jason Mark Nash, PHARMD

  • Pharmacist
  • Atlanta, GA
  • NPI 1376812834
  Authorized official Same address or phone

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387324800000",
    "number": "1568566511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3280 HOWELL MILL RD NW",
            "address_2": "SUITE 326",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303274111",
            "telephone_number": "404-355-3788",
            "fax_number": "678-244-2157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 HOWELL MILL RD NW",
            "address_2": "SUITE 326",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303274111",
            "telephone_number": "404-355-3788",
            "fax_number": "678-244-2157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIDE MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2013-12-18",
        "status": "A",
        "authorized_official_last_name": "NASH",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "404-355-3788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "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": "PHRE007491",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "759295303A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1141136",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRIDE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thomas Price
• Carlton Sylvester Prickett III, MD
• Duane L Prickett, SA-C, RSA, LSA
• Kara Kerscher Prickett, MD
• Pride Hands Inc
• Pride Medical Services, PC
• Pride Medical, Inc.
• Mary Azar Pride, MS., A.P.R.N., B.C.
• Andrew Pridjian, MD
• Priest & Smith, LLC

• Community/Retail Pharmacy in Atlanta, GA
• Providers in Atlanta, 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 Dec 18, 2013; 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.