Nursing Home Pharmacy LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

PHRE004071 Issued in GA

Legal business name

NURSING HOME PHARMACY LLC

Practice address

1865 Bold Springs Rd NW
Monroe, GA 30656-4605

Phone

(770) 267-8677

Fax

(770) 267-6462

NPI assigned

Jun 24, 2005

Organization subpart

No

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

Authorized official

Name

John Gleaton, BS PHARMACY

Title

Partner

Phone

(770) 267-8677

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• NURSING HOME PHARMACY Doing business as

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470096000000",
    "number": "1780680652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1865 BOLD SPRINGS RD NW",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306564605",
            "telephone_number": "770-267-8677",
            "fax_number": "770-267-6462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1865 BOLD SPRINGS RD NW",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306564605",
            "telephone_number": "770-267-8677",
            "fax_number": "770-267-6462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURSING HOME PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-24",
        "last_updated": "2016-08-02",
        "status": "A",
        "authorized_official_last_name": "GLEATON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "770-267-8677",
        "authorized_official_credential": "BS PHARMACY"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "GA",
            "license": "PHRE004071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00002164",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2012681",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NURSING HOME PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leslie Nilsen
• Francis Ikechukwu Njoku
• Serah Ashley Nock
• Roberto Norniella, MD
• Northeast Internal Medicine, P.C.
• Patricia Ann O'Rourke, NURSE PRACTITIONER
• Megan O'Shea
• Anna Reed Oakley, MS
• Ofhc - Focus LLC
• Mikayla Marie Ogle, NP

• Long Term Care Pharmacy in Monroe, GA
• Providers in Monroe, GA by specialty
• Long Term Care Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.