Organization Active NPI

Pyramid Discount Pharmacy Inc

Doing business as Pyramid Discount Pharmacy

  • Community/Retail Pharmacy
  • East Point, GA
National Provider Identifier
1750497749
Registry record updated Nov 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHRE006839 Issued in GA
Legal business name
PYRAMID DISCOUNT PHARMACY INC
Doing business as
Pyramid Discount Pharmacy
Practice address
1185 Cleveland Ave
East Point, GA 30344-3612
Phone
(404) 559-0715
Fax
(404) 559-0347
NPI assigned
Aug 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2011

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

Authorized official

Name
Winnifred Osunde Uzzi
Title
Agent Director
Phone
(404) 559-0715

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHRE006839 GA Primary

Addresses

Primary practice location

1185 Cleveland Ave
East Point, GA 30344-3612

Mailing address

1185 Cleveland Ave
East Point, GA 30344-3612
Phone (404) 559-0715

Other identifiers 2

IdentifierTypeStateIssuer
00352393AMedicaidGA
1132024OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • PYRAMID DISCOUNT PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220301000273 GA Part B Supplier - Pharmacy 2567856933 Practice locations: East Point, GA

National Provider Directory

National Provider Directory

Locations

1185 Cleveland Ave
East Point, GA 30344
Phone (404) 477-8846

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320710400000",
    "number": "1750497749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1185 CLEVELAND AVE",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303443612",
            "telephone_number": "404-559-0715",
            "fax_number": "404-559-0347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1185 CLEVELAND AVE",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303443612",
            "telephone_number": "404-559-0715",
            "fax_number": "404-559-0347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PYRAMID DISCOUNT PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2011-11-08",
        "status": "A",
        "authorized_official_last_name": "OSUNDE UZZI",
        "authorized_official_first_name": "WINNIFRED",
        "authorized_official_title_or_position": "AGENT DIRECTOR",
        "authorized_official_telephone_number": "404-559-0715"
    },
    "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": "PHRE006839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00352393A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1132024",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PYRAMID DISCOUNT PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Point, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; 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.