Organization Active NPI

Atg Pharmacy LLC

  • Pharmacy
  • Marietta, GA
National Provider Identifier
1619628591
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
ATG PHARMACY LLC
Practice address
4774 Lower Roswell Rd Ste 104
Marietta, GA 30068-4669
Phone
(404) 891-9301
Fax
(404) 891-9311
NPI assigned
Jan 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mr. Samuel Cartagena Jr.
Title
Manager
Phone
(404) 891-9301

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

4774 Lower Roswell Rd Ste 104
Marietta, GA 30068-4669

Mailing address

4774 Lower Roswell Rd Ste 104
Marietta, GA 30068-4669
Phone (404) 891-9301

Other identifiers 1

IdentifierTypeStateIssuer
PHRE0190970OtherGAGEORGIA BOARD OF PHARMACY

Other names 1

  • MedsPlus Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

4774 Lower Roswell Rd
Ste 104
Marietta, GA 30068
Phone (404) 891-9301

NPI Registry JSON

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

{
    "created_epoch": "1641945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1619628591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4774 LOWER ROSWELL RD STE 104",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300684669",
            "telephone_number": "404-891-9301",
            "fax_number": "404-891-9311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4774 LOWER ROSWELL RD STE 104",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300684669",
            "telephone_number": "404-891-9301",
            "fax_number": "404-891-9311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATG PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-12",
        "last_updated": "2023-03-07",
        "certification_date": "2022-01-12",
        "status": "A",
        "authorized_official_last_name": "CARTAGENA",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "404-891-9301",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA BOARD OF PHARMACY",
            "identifier": "PHRE0190970",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedsPlus Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.