Coweta-Fulton Drugs LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

COWETA-FULTON DRUGS LLC

Doing business as

Palmetto Pharmacy

Practice address

202 Fayetteville Rd
Palmetto, GA 30268-1339

Phone

(770) 703-5027

Fax

(770) 703-3751

NPI assigned

Sep 2, 2021

Organization subpart

No

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

Authorized official

Name

Harry Burg III, RPH

Title

Manager

Phone

(706) 714-3483

Specialties & licenses 1

Addresses

Other names 1

• Palmetto Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Tax ID family

Coweta-Fulton Drugs LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Coweta-Fulton Drugs LLC

  • Long Term Care Pharmacy
  • Palmetto, GA
  • NPI 1285420349
  NPD tax ID

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

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640822400000",
    "number": "1669140786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 FAYETTEVILLE RD",
            "city": "PALMETTO",
            "state": "GA",
            "postal_code": "302681339",
            "telephone_number": "770-703-5027",
            "fax_number": "770-703-3751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 FAYETTEVILLE RD",
            "city": "PALMETTO",
            "state": "GA",
            "postal_code": "302681339",
            "telephone_number": "770-703-5027",
            "fax_number": "770-703-3751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COWETA-FULTON DRUGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-02",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A",
        "authorized_official_last_name": "BURG",
        "authorized_official_first_name": "HARRY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "706-714-3483",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palmetto Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Palmetto Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Clementines Home Healthcare LLC
• Cliniccore
• Naturel Cordova
• Kelsey Cossio, RDN
• Coweta-Fulton Drugs LLC
• Aaliyah Dorsey
• Denesha Duncan, CSW, PMSW, PMHP
• Each One Reach One Transportation Service, LLC
• Mary Morrell Early, LCSW
• Christina Rochelle Escalante, MD

• Community/Retail Pharmacy in Palmetto, GA
• Providers in Palmetto, 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 Dec 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.