Pain Care Store

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PAIN CARE STORE

Practice address

1836 Second Ave
Decatur, GA 30032-3970

Phone

(404) 391-4188

NPI assigned

Jan 10, 2014

Organization subpart

No

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

Authorized official

Name

Taqiyy Saleem

Title

Manager

Phone

(404) 391-4188

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1389312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389312000000",
    "number": "1619399698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 SECOND AVE",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300323970",
            "telephone_number": "404-391-4188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1836 SECOND AVE",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300323970",
            "telephone_number": "404-391-4188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN CARE STORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-10",
        "last_updated": "2014-01-10",
        "status": "A",
        "authorized_official_last_name": "SALEEM",
        "authorized_official_first_name": "TAQIYY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "404-391-4188"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pact Atlanta Pharmacy LLC
• Pact Atlanta, LLC
• Keerthi Reddy Padooru, MD
• Rekha Pagadala, AA
• Patricia Zartman Page, MS, CGC
• Pain Control & Rehabilitation Institute of Georgia, Inc.
• Pain Rehab Equipment
• David Alexander Paine, M.D.
• Judith Painter, LCSW
• Rajendra P Paladugu, MD

• Durable Medical Equipment & Medical Supplies in Decatur, GA
• Providers in Decatur, 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 Jan 10, 2014; 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.