Organization Active NPI

Little 5 Points Pharmacy

  • Pharmacist
  • Atlanta, GA
National Provider Identifier
1780808535
Registry record updated Nov 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PHRE005725 Issued in GA
Legal business name
LITTLE 5 POINTS PHARMACY
Practice address
484 Moreland Ave NE
Atlanta, GA 30307-3426
Phone
(404) 524-4466
NPI assigned
Apr 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2007

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

Authorized official

Name
Ms. Judith Wagner
Title
Pharmacist in Charge
Phone
(404) 524-4466

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X PHRE005725 GA Primary

Addresses

Primary practice location

484 Moreland Ave NE
Atlanta, GA 30307-3426

Mailing address

484 Moreland Ave NE
Atlanta, GA 30307-3426
Phone (404) 524-4466

National Provider Directory

National Provider Directory

Locations

484 Moreland Ave NE
Atlanta, GA 30307
Phone (404) 524-4466

Practitioners & affiliated clinicians

Practitioners 1

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": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196208000000",
    "number": "1780808535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "484 MORELAND AVE NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303073426",
            "telephone_number": "404-524-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "484 MORELAND AVE NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303073426",
            "telephone_number": "404-524-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE 5 POINTS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2007-11-28",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "404-524-4466",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "PHRE005725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; 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.