Active NPI
Guardian Pharmacy of Atlanta, LLC
- Long Term Care Pharmacy
- Marietta, GA
National Provider Identifier
1801180625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- PHRE009760
- 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, 2022
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2131013 | Other | PK |
Other names 1
- Guardian Pharmacy of Atlanta, LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120502000144 | GA | Part B Supplier - Mass Immunization (Roster Biller Only) | 3476710831 | Practice locations: Marietta, GA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Canton, GA
- NPI 1477374999
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.