Organization Active NPI

Faith Pharmacy Inc

  • Community/Retail Pharmacy
  • College Park, GA
National Provider Identifier
1821084682
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
FAITH PHARMACY INC
Doing business as
Faith Pharmacy, Inc.
Practice address
1720 Phoenix Blvd, Suite #400
College Park, GA 30349-5594
Phone
(770) 997-1112
Fax
(770) 997-1905
NPI assigned
Sep 26, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

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

Authorized official

Name
Mr. Uchenna Mgbelu
Title
Ceo
Phone
(470) 641-6025

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

1720 Phoenix Blvd, Suite #400
College Park, GA 30349-5594

Mailing address

1720 Phoenix Blvd, Suite #400
College Park, GA 30349-5594
Phone (770) 997-1112

Other identifiers 2

IdentifierTypeStateIssuer
2130228OtherPK
805224208AMedicaidGA

Other names 1

  • Faith Pharmacy, Inc. Doing business as

National Provider Directory

National Provider Directory

Locations

1720 Phoenix Blvd
Ste 400
College Park, GA 30349
Phone (770) 997-1112

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686268800000",
    "number": "1821084682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 PHOENIX BLVD, SUITE #400",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303495594",
            "telephone_number": "770-997-1112",
            "fax_number": "770-997-1905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 PHOENIX BLVD, SUITE #400",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303495594",
            "telephone_number": "770-997-1112",
            "fax_number": "770-997-1905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-26",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A",
        "authorized_official_last_name": "MGBELU",
        "authorized_official_first_name": "UCHENNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "470-641-6025",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2130228",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805224208A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Faith Pharmacy, Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Faith Pharmacy, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in College Park, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; 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.