NPIMap

Organization Active NPI

Psi, LLC

Doing business as ElderCare Pharmacy Royston

  • Long Term Care Pharmacy
  • Royston, GA
National Provider Identifier
1801209804
Registry record updated Sep 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
PSI, LLC
Doing business as
ElderCare Pharmacy Royston
Practice address
635 Cook St
Royston, GA 30662-3932
Phone
(762) 847-7403
Fax
(706) 245-1421
NPI assigned
Jun 6, 2014
Last updated
Sep 27, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2016

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

Authorized official

Name
Ms. Amanda T Roberson, RPHNPI 1922325570
Title
Vice President of Operations
Phone
(478) 783-1515

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

635 Cook St
Royston, GA 30662-3932

Mailing address

635 Cook St
Royston, GA 30662-3932
Phone (762) 847-7403

Other names 1

  • ElderCare Pharmacy Royston Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Community Ancillary Services Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

635 Cook St
Royston, GA 30662
Phone (478) 954-2033

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": "1402012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474934400000",
    "number": "1801209804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 COOK ST",
            "city": "ROYSTON",
            "state": "GA",
            "postal_code": "306623932",
            "telephone_number": "762-847-7403",
            "fax_number": "706-245-1421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 COOK ST",
            "city": "ROYSTON",
            "state": "GA",
            "postal_code": "306623932",
            "telephone_number": "762-847-7403",
            "fax_number": "706-245-1421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-06",
        "last_updated": "2016-09-27",
        "status": "A",
        "authorized_official_last_name": "ROBERSON",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "VICE PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "478-783-1515",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ElderCare Pharmacy Royston",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Royston, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.