Organization Active NPI

Rita RX Inc

Doing business as Douglasville Discount Pharmacy

  • Community/Retail Pharmacy
  • Douglasville, GA
National Provider Identifier
1619411394
Registry record updated Dec 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHRE010325 Issued in GA
Legal business name
RITA RX INC
Doing business as
Douglasville Discount Pharmacy
Practice address
3379 Highway 5 Ste F
Douglasville, GA 30135-2377
Phone
(678) 324-7054
Fax
(678) 324-7838
NPI assigned
Dec 14, 2016
Last updated
Dec 20, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2016

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

Authorized official

Name
Rita Coleman
Title
Owner/Pharmacist
Phone
(678) 324-7054

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X PHRE010325 GA Primary
Compounding Pharmacy 3336C0004X NU

Addresses

Primary practice location

3379 Highway 5 Ste F
Douglasville, GA 30135-2377

Mailing address

3379 Highway 5
Suite F
Douglasville, GA 30135-6928
Phone (678) 324-7054

Other identifiers 1

IdentifierTypeStateIssuer
2166805OtherPK

Other names 1

  • DOUGLASVILLE DISCOUNT PHARMACY Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1481673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482192000000",
    "number": "1619411394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3379 HIGHWAY 5",
            "address_2": "SUITE F",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301356928",
            "telephone_number": "678-324-7054",
            "fax_number": "678-324-7838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3379 HIGHWAY 5 STE F",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301352377",
            "telephone_number": "678-324-7054",
            "fax_number": "678-324-7838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITA RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-14",
        "last_updated": "2016-12-20",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "RITA",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "678-324-7054"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE010325",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2166805",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DOUGLASVILLE DISCOUNT PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Douglasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.