Active NPI
The Harville Group
- Community/Retail Pharmacy
- Marietta, GA
National Provider Identifier
1679749758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHHH000051
- Legal business name
- THE HARVILLE GROUP
- Practice address
- 1395 S Marietta Pkwy SE
BLDG 400-105
Marietta, GA 30067-4440 - Phone
- (770) 672-7976
- Fax
- (770) 672-7975
- NPI assigned
- May 7, 2008
- 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. Vincent E Harville, R.PH
- Title
- Pharmacist/Manager
- Phone
- (770) 672-7976
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PHHH000051 | GA | Primary |
Addresses
Primary practice location
1395 S Marietta Pkwy SE
BLDG 400-105
Marietta, GA 30067-4440
Mailing address
1395 S. Marietta Pkwy SE
BLDG 400-105
Marietta, GA 30067
Phone (770) 672-7976
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 184103243A | Medicaid | GA |
Other names 1
- Atlanta Pharmacy & Medical Supply
National Provider Directory
National Provider Directory- Tax ID family
- Atlanta Pharmacy Medical Supply
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Marietta, GA
- NPI 1215296470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210118400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1336608000000",
"number": "1679749758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1395 S. MARIETTA PKWY SE",
"address_2": "BLDG 400-105",
"city": "MARIETTA",
"state": "GA",
"postal_code": "30067",
"telephone_number": "770-672-7976",
"fax_number": "770-672-7975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1395 S MARIETTA PKWY SE",
"address_2": "BLDG 400-105",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300674440",
"telephone_number": "770-672-7976",
"fax_number": "770-672-7975"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE HARVILLE GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-07",
"last_updated": "2012-05-10",
"status": "A",
"authorized_official_last_name": "HARVILLE",
"authorized_official_first_name": "VINCENT",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PHARMACIST/MANAGER",
"authorized_official_telephone_number": "770-672-7976",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "R.PH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "GA",
"license": "PHHH000051",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "184103243A",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Atlanta Pharmacy & Medical Supply",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- 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.