Active NPI
Farmacia Latina Inc
- Community/Retail Pharmacy
- Norcross, GA
National Provider Identifier
1811041262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHRE008452
- Legal business name
- FARMACIA LATINA INC
- Doing business as
- FARMACIA LATINA INC
- Practice address
- 5720 Buford Hwy
Ste 102
Norcross, GA 30071-2577 - Phone
- (770) 729-0046
- Fax
- (770) 729-0761
- NPI assigned
- Jan 23, 2007
- 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
- Maria Merchan, RPH
- Title
- Owner
- Phone
- (678) 480-3687
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PHRE008452 | GA | Primary |
Addresses
Primary practice location
5720 Buford Hwy
Ste 102
Norcross, GA 30071-2577
Mailing address
5720 Buford Hwy
Ste 102
Norcross, GA 30071-2577
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1148077 | Other | OTHER ID NUMBER | |
| 008902494A | Medicaid | GA | |
| 1148077 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
Other names 1
- FARMACIA LATINA INC
National Provider Directory
National Provider DirectoryLocations
5720 Buford Hwy
Ste 102
Norcross, GA 30071
Phone (770) 729-1600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1189555200000",
"number": "1811041262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5720 BUFORD HWY",
"address_2": "STE 102",
"city": "NORCROSS",
"state": "GA",
"postal_code": "300712577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5720 BUFORD HWY",
"address_2": "STE 102",
"city": "NORCROSS",
"state": "GA",
"postal_code": "300712577",
"telephone_number": "770-729-0046",
"fax_number": "770-729-0761"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FARMACIA LATINA INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-23",
"last_updated": "2007-09-12",
"status": "A",
"authorized_official_last_name": "MERCHAN",
"authorized_official_first_name": "MARIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "678-480-3687",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "GA",
"license": "PHRE008452",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER",
"identifier": "1148077",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008902494A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "1148077",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "FARMACIA LATINA INC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Norcross, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.