Organization Active NPI

Guardian Pharmacy of Atlanta, LLC

  • Long Term Care Pharmacy
  • Marietta, GA
National Provider Identifier
1801180625
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
PHRE009760 Issued in GA
Legal business name
GUARDIAN PHARMACY OF ATLANTA, LLC
Doing business as
Guardian Pharmacy of Atlanta, LLC
Practice address
877 Franklin Gtwy SE Ste 200
Marietta, GA 30067-8009
Phone
(770) 635-3301
Fax
(770) 635-3302
NPI assigned
Jun 9, 2011
Last updated
Nov 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

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

Authorized official

Name
Matt Hopp
Title
President
Phone
(770) 635-3303

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Long Term Care Pharmacy 3336L0003X PHRE009760 GA Primary

Addresses

Primary practice location

877 Franklin Gtwy SE Ste 200
Marietta, GA 30067-8009

Mailing address

Guardian Pharmacy of Atlanta Dept 2447
P.O. Box 11407
Birmingham, AL 35246-0001
Phone (404) 389-1316

Other identifiers 1

IdentifierTypeStateIssuer
2131013OtherPK

Other names 1

  • Guardian Pharmacy of Atlanta, LLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120502000144 GA Part B Supplier - Mass Immunization (Roster Biller Only) 3476710831 Practice locations: Marietta, GA

National Provider Directory

National Provider Directory

Locations

1776 Peachtree St NW
#500
Atlanta, GA 30309

1750 Enterprise Way SE
Ste 105
Marietta, GA 30067
Phone (770) 635-3301

877 Franklin Gtwy SE
Ste 200
Marietta, GA 30067
Phone (770) 635-3301

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": "1307577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668384000000",
    "number": "1801180625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "GUARDIAN PHARMACY OF ATLANTA DEPT 2447",
            "address_2": "P.O. BOX 11407",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352460001",
            "telephone_number": "404-389-1316",
            "fax_number": "404-389-1317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "877 FRANKLIN GTWY SE STE 200",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678009",
            "telephone_number": "770-635-3301",
            "fax_number": "770-635-3302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN PHARMACY OF ATLANTA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-09",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A",
        "authorized_official_last_name": "HOPP",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-635-3303"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "GA",
            "license": "PHRE009760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2131013",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Guardian Pharmacy of Atlanta, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Guardian Pharmacy of Atlanta, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; 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.