Zoot Enterprises Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE007324 Issued in GA

Legal business name

ZOOT ENTERPRISES INC

Practice address

832 Turner McCall Blvd SW
Rome, GA 30161-2927

Phone

(706) 291-7850

Fax

(706) 291-0575

NPI assigned

Sep 12, 2006

Organization subpart

No

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

Authorized official

Name

Ann Moss, RPH

Title

VP

Phone

(706) 291-7850

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• WARDS PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336608000000",
    "number": "1659475606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "832 TURNER MCCALL BLVD SW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301612927",
            "telephone_number": "706-291-7850",
            "fax_number": "706-291-0575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "832 TURNER MCCALL BLVD SW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301612927",
            "telephone_number": "706-291-7850",
            "fax_number": "706-291-0575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZOOT ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2012-05-10",
        "status": "A",
        "authorized_official_last_name": "MOSS",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "706-291-7850",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE007324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00054986A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1113492",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WARDS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Roy J Young, CPS-MH,AD CARES
• Katlyn Will Zavala, MD
• Amanda Elyse Zell, PHARM.D.
• Jesse Zheng, M.D.
• Carlos M Zimmerman
• Rebecca Nicole Zuniga, PA-C

• Community/Retail Pharmacy in Rome, GA
• Providers in Rome, GA by specialty
• Community/Retail Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2012; 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.