Ball Ground Pharmacy LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

PHRE007345 Issued in GA

Legal business name

BALL GROUND PHARMACY LLC

Doing business as

Ball Ground Pharmacy

Practice address

245 Gilmer Ferry Rd
Ball Ground, GA 30107-2908

Phone

(770) 735-6161

Fax

(770) 735-6925

NPI assigned

Jun 19, 2007

Last updated

Jun 2, 2008By 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

Jeff Richardson

Title

Owner

Phone

(770) 735-6161

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Ball Ground Pharmacy Doing business as

Tax ID family

Ballground Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Ball Ground Pharmacy LLC

  • Long Term Care Pharmacy
  • Ball Ground, GA
  • NPI 1528852845
  NPD tax ID

Locations

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.

• Robert J. Anderson, PHARM.D.

  • Pharmacotherapy Pharmacist
  • Ball Ground, GA
  • NPI 1396793642
  NPD (past)

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212364800000",
    "number": "1578768545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 GILMER FERRY RD",
            "city": "BALL GROUND",
            "state": "GA",
            "postal_code": "301072908",
            "telephone_number": "770-735-6161",
            "fax_number": "770-735-6925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 GILMER FERRY RD",
            "city": "BALL GROUND",
            "state": "GA",
            "postal_code": "301072908",
            "telephone_number": "770-735-6161",
            "fax_number": "770-735-6925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALL GROUND PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2008-06-02",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-735-6161"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "PHRE007345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000473052C",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP-NABP",
            "identifier": "113739",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ball Ground Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Ball Ground, GA
• Providers in Ball Ground, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; 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.