Active NPI
Atg Pharmacy LLC
- Pharmacy
- Marietta, GA
National Provider Identifier
1619628591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHRE0190970 | Other | GA | GEORGIA BOARD OF PHARMACY |
Other names 1
- MedsPlus Pharmacy
National Provider Directory
National Provider DirectoryLocations
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.