North Heights Pharmacy Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

PHRE006126 Issued in GA

Legal business name

NORTH HEIGHTS PHARMACY INC

Practice address

411 W 10TH St NE
Rome, GA 30165-2640

Phone

(706) 295-5712

Fax

(706) 295-3497

NPI assigned

Jul 3, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Grady C Tate, RPH

Title

Owner/Pharmacist

Phone

(706) 295-5712

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Medicine Shoppe Doing business as

Locations

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1831128552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 W 10TH ST NE",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301652640",
            "telephone_number": "706-295-5712",
            "fax_number": "706-295-3497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 W 10TH ST NE",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301652640",
            "telephone_number": "706-295-5712",
            "fax_number": "706-295-3497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH HEIGHTS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "TATE",
        "authorized_official_first_name": "GRADY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "706-295-5712",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE006126",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "GA",
            "license": "PHRE006126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP #",
            "identifier": "1113454",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000032656A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicine Shoppe",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Medicine Shoppe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Uyen Nguyen
• Donald Eric Nichols, PTA
• Ezekiel Nnam, MD
• North Georgia Care Services, Inc
• North Georgia Nephrology Associates PC
• Northeast Pharmaceuticals, Inc.
• Northland Hearing Centers, Inc.
• Northwest Ga Health District 1-1
• Northwest Ga Home Care/ Dba Right at Home
• Northwest Georgia Behavioral Health

• Long Term Care Pharmacy in Rome, GA
• Providers in Rome, GA by specialty
• Long Term Care Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.