Physicians Pharmacy & Medical Supply LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

PHYSICIANS PHARMACY & MEDICAL SUPPLY LLC

Doing business as

Physicians Pharmacy LTC

Practice address

3875 Austell Rd
Austell, GA 30106-1103

Phone

(770) 944-9101

Fax

(770) 944-7702

NPI assigned

Apr 6, 2022

Last updated

Apr 6, 2022By 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

Judith Marzullo

Title

Ceo

Phone

(770) 944-9101

Specialties & licenses 1

Addresses

Other names 1

• Physicians Pharmacy LTC Doing business as

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

{
    "created_epoch": "1649203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649203200000",
    "number": "1639810203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3875 AUSTELL RD",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061103",
            "telephone_number": "770-944-9101",
            "fax_number": "770-944-7702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3875 AUSTELL RD",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061103",
            "telephone_number": "770-944-9101",
            "fax_number": "770-944-7702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS PHARMACY & MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-06",
        "last_updated": "2022-04-06",
        "certification_date": "2022-03-24",
        "status": "A",
        "authorized_official_last_name": "MARZULLO",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-944-9101"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physicians Pharmacy LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Travis Lamont Perry, MD
• Phillip L. Potter, MD, Facog, PC
• Amari Sariyah Phillips, RBT
• Sierra Green Phillips, M.D.
• Sofia Phirtskhalava
• Physicians Pharmacy & Medical Supply LLC (Physicians Pharmacy)
• Physicians Pharmacy and Medical Supply, LLC
• Clifford Pickett, MD
• Ofelia Maria Pineda
• Alyssa Ruth Filomeno Pingue

• Long Term Care Pharmacy in Austell, GA
• Providers in Austell, GA by specialty
• Long Term Care Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; 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.