The Plaza Pharmacy, LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

THE PLAZA PHARMACY, LLC

Practice address

775 Poplar Rd
Suite 100
Newnan, GA 30265-8300

Phone

(404) 606-2578

Fax

(770) 683-4101

NPI assigned

Jan 15, 2013

Organization subpart

No

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

Authorized official

Name

Amy Matistic

Title

Member

Phone

(404) 606-2578

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1358208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358208000000",
    "number": "1740527464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 POPLAR RD",
            "address_2": "SUITE 100",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302658300",
            "telephone_number": "404-606-2578",
            "fax_number": "770-683-4101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 POPLAR RD",
            "address_2": "SUITE 100",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302658300",
            "telephone_number": "404-606-2578",
            "fax_number": "770-683-4101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PLAZA PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-15",
        "last_updated": "2013-01-15",
        "status": "A",
        "authorized_official_last_name": "MATISTIC",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "404-606-2578"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacy in Newnan, GA
• Providers in Newnan, GA by specialty
• Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; 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.