Organization Active NPI

First Pharmacy West Inc

  • Community/Retail Pharmacy
  • Cartersville, GA
National Provider Identifier
1720093354
Registry record updated Feb 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHRE009006 Issued in GA
Legal business name
FIRST PHARMACY WEST INC
Practice address
75 Douthit Ferry Rd
Cartersville, GA 30120-4098
Phone
(770) 606-9901
Fax
(678) 605-9885
NPI assigned
Jul 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2009

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

Authorized official

Name
Mahendra Patel, PHARMD
Title
Owner
Phone
(770) 606-9901

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHRE009006 GA Primary
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

75 Douthit Ferry Rd
Cartersville, GA 30120-4098

Mailing address

75 Douthit Ferry Rd
Cartersville, GA 30120-4098

Other identifiers 1

IdentifierTypeStateIssuer
1154018OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • FIRST PHARMACY WEST Doing business as

National Provider Directory

National Provider Directory

Locations

75 Douthit Ferry Rd
Cartersville, GA 30120
Phone (770) 606-9901

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235606400000",
    "number": "1720093354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 DOUTHIT FERRY RD",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301204098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 DOUTHIT FERRY RD",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301204098",
            "telephone_number": "770-606-9901",
            "fax_number": "678-605-9885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST PHARMACY WEST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2009-02-26",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MAHENDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-606-9901",
        "authorized_official_credential": "PHARMD"
    },
    "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": "PHRE009006",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1154018",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FIRST PHARMACY WEST",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cartersville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2009; 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.