Lanier Pharmacy Acquisition Corp.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE007887 Issued in GA

Legal business name

LANIER PHARMACY ACQUISITION CORP.

Practice address

3560 Thompson Bridge Rd
Gainesville, GA 30506-1518

Phone

(770) 536-8861

Fax

(770) 503-1201

NPI assigned

Nov 15, 2006

Organization subpart

No

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

Authorized official

Name

Stephen Adams, RPH

Title

Pres/Owner/RPH/Ao

Phone

(770) 536-8861

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• LANIER PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490227200000",
    "number": "1699847475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3560 THOMPSON BRIDGE RD",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305061518",
            "telephone_number": "770-536-8861",
            "fax_number": "770-503-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3560 THOMPSON BRIDGE RD",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305061518",
            "telephone_number": "770-536-8861",
            "fax_number": "770-503-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANIER PHARMACY ACQUISITION CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2017-03-23",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "PRES/OWNER/RPH/AO",
        "authorized_official_telephone_number": "770-536-8861",
        "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": "PHRE007887",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2013332",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1038780001",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000673208A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LANIER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Lisha Annette-Kathleen Lansberry, APRN

• Community/Retail Pharmacy in Gainesville, GA
• Providers in Gainesville, 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 Mar 23, 2017; 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.