Towne Lake Family Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE009746 Issued in GA

Legal business name

TOWNE LAKE FAMILY PHARMACY LLC

Doing business as

Towne lake Family Pharmacy LLC

Practice address

2360 Towne Lake Pkwy Ste 102
Woodstock, GA 30189-5576

Phone

(770) 635-7697

Fax

(770) 635-7526

NPI assigned

Apr 21, 2011

Last updated

Apr 20, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ofori QuarcooNPI 1457535874

Title

Owner

Phone

(770) 635-7697

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Towne lake Family Pharmacy LLC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ofori Julius Quarcoo

  • Pharmacotherapy Pharmacist
  • Woodstock, GA
  • NPI 1457535874
  NPD Authorized official

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

{
    "created_epoch": "1303344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681948800000",
    "number": "1831480078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2360 TOWNE LAKE PKWY STE 102",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301895576",
            "telephone_number": "770-635-7697",
            "fax_number": "770-635-7526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 TOWNE LAKE PKWY STE 102",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301895576",
            "telephone_number": "770-635-7697",
            "fax_number": "770-635-7526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWNE LAKE FAMILY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-21",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A",
        "authorized_official_last_name": "QUARCOO",
        "authorized_official_first_name": "OFORI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-635-7697"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE009746",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003109334A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2130061",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Towne lake Family Pharmacy LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Towne lake Family Pharmacy LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Towne Lake Family Dentistry, LTD.
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• Nhi Tran
• Jon Vincent Trankina, MD
• Tranquility Counseling Services

• Community/Retail Pharmacy in Woodstock, GA
• Providers in Woodstock, GA by specialty
• Community/Retail Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.