Pharmrx Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE010621 Issued in GA

Legal business name

PHARMRX PHARMACY LLC

Doing business as

PharmRx Pharmacy LLc

Practice address

137 E Felton Rd
Cartersville, GA 30120-2143

Phone

(770) 334-3598

Fax

(678) 306-3717

NPI assigned

Apr 16, 2018

Last updated

May 28, 2020By 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

Jay PatelNPI 1093262990

Title

Manager

Phone

(770) 334-3598

Specialties & licenses 5

Addresses

Other identifiers 1

Other names 1

• PharmRx Pharmacy LLc Doing business as

Medicare fee-for-service enrollment

Enrolled in GA2 enrollments

Enrollment records 2

Tax ID family

Pharmrx Pharmacy 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.

• Pharmrx Pharmacy LLC

  • Long Term Care Pharmacy
  • Cartersville, GA
  • NPI 1528809555
  NPD tax ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jay Patel, R.PH

  • Oncology Pharmacist
  • Austell, GA
  • NPI 1093262990
  NPD Authorized official
• Kristin Haydock Garner, RPH

  • Pharmacist
  • Alpharetta, GA
  • NPI 1881350841
  NPD (past)

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

{
    "created_epoch": "1523836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590624000000",
    "number": "1679060685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 E FELTON RD",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301202143",
            "telephone_number": "770-334-3598",
            "fax_number": "678-306-3717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 E FELTON RD",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301202143",
            "telephone_number": "770-334-3598",
            "fax_number": "678-306-3717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMRX PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-16",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "770-334-3598"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE010621",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2177258",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PharmRx Pharmacy LLc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pamela L Peterman, NP
• Teri Kaye Pettaway, NP
• Aimee B Pflugrad, AGACNP-BC
• Tuyen Phan, NP
• Pharmrx Pharmacy LLC
• Phoenix Air Group, Inc
• Peter Arthur Phrydas, DMD
• Physiotherapy Associates, Inc (Physio-Cartersville)
• Ashley Nicole Picardi, SFA
• Lisa K Picel, LPN

• Community/Retail Pharmacy in Cartersville, GA
• Providers in Cartersville, 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 28, 2020; 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.