Athens Model Neighborhood Health Center Inc
Organization Active NPI Community/Retail Pharmacy · Athens, GA
NPI 1811399090 · NPPES record last updated Jun 10, 2025
Key facts
- NPI
- 1811399090
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- PHRE010127 (GA)
- Legal business name
- ATHENS MODEL NEIGHBORHOOD HEALTH CENTER INC
- Practice address
- 402 McKinley Dr
Athens, GA 30601-3261 - Phone
- (706) 850-8057
- Fax
- (706) 549-0056
- NPI assigned
- Sep 19, 2014
- Organization subpart
- No
Authorized official
- Name
- Saman Kazemi
- Title
- Pharmacy Director
- Phone
- (706) 543-1145
Corporate family (same tax ID) 2
National Provider Directory
- Tax ID family
- Athens Neighd HLTH Ctr
Locations
675 College Ave
Athens, GA 30601
Phone (706) 546-5526
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PHRE010127 | GA | Yes |
| Community/Retail Pharmacy | 3336C0003X | |||
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
402 McKinley Dr
Athens, GA 30601-3261
Mailing address
402 McKinley Dr
Athens, GA 30601-3261
Phone (706) 543-1145
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2151280 | Other | PK |
Other names
- Athens Neighborhood Pharmacy
Other providers in Athens, GA
- Athens Medical Associates PC
- Athens Medical Solutions LLC
- Athens Model Neighborhood Health Center Inc
- Athens Model Neighborhood Health Center Inc
- Athens Model Neighborhood Health Center Inc
- Athens Neighborhood Diagnostic Center
- Athens Neighborhood Health Center Inc
- Athens Neighborhood Pharmacy
- Athens Neighborhood Urgent Care
- Athens Nephrology Associates
All providers in Athens, GA · Community/Retail Pharmacy in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.