NPIMap

Organization Active NPI

Caduceus USA Medical Pharmacy LLC

Doing business as Caduceus Occupational Medicine

  • Clinic Pharmacy
  • Hapeville, GA
National Provider Identifier
1780047290
Registry record updated Apr 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
PHRE008706 Issued in GA
Legal business name
CADUCEUS USA MEDICAL PHARMACY LLC
Doing business as
Caduceus Occupational Medicine
Practice address
535 N Central Ave
Hapeville, GA 30354-1603
Phone
(404) 761-1263
Fax
(404) 761-2698
NPI assigned
Apr 1, 2016
Last updated
Apr 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2016

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

Authorized official

Name
Stephen DawkinsNPI 1407917644
Title
Medical Director & Owner
Phone
(404) 761-4040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Clinic Pharmacy 3336C0002X PHRE008706 GA Primary
Community/Retail Pharmacy 3336C0003X NU

Addresses

Primary practice location

535 N Central Ave
Hapeville, GA 30354-1603

Mailing address

535 N Central Ave
Hapeville, GA 30354-1603
Phone (404) 761-1263

Other identifiers 1

IdentifierTypeStateIssuer
2159170OtherPK

Other names 1

  • Caduceus Occupational Medicine Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1459468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461888000000",
    "number": "1780047290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 N CENTRAL AVE",
            "city": "HAPEVILLE",
            "state": "GA",
            "postal_code": "303541603",
            "telephone_number": "404-761-1263",
            "fax_number": "404-761-2698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 N CENTRAL AVE",
            "city": "HAPEVILLE",
            "state": "GA",
            "postal_code": "303541603",
            "telephone_number": "404-761-1263",
            "fax_number": "404-761-2698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CADUCEUS USA MEDICAL PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-01",
        "last_updated": "2016-04-29",
        "status": "A",
        "authorized_official_last_name": "DAWKINS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR & OWNER",
        "authorized_official_telephone_number": "404-761-4040"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "GA",
            "license": "PHRE008706",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2159170",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caduceus Occupational Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hapeville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2016; 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.