Organization Active NPI

Farmacia Latina Inc

  • Community/Retail Pharmacy
  • Norcross, GA
National Provider Identifier
1811041262
Registry record updated Sep 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHRE008452 Issued in GA
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

Updated by the provider on Sep 12, 2007

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1148077OtherOTHER ID NUMBER
008902494AMedicaidGA
1148077OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • FARMACIA LATINA INC Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.