Alliance Community Pharmacy Corp
Organization Active NPI Community/Retail Pharmacy · Atlanta, GA
NPI 1841630902 · NPPES record last updated May 29, 2025
Key facts
- NPI
- 1841630902
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- ALLIANCE COMMUNITY PHARMACY CORP
- Practice address
- 1016 Piedmont Ave NE
Atlanta, GA 30309-3702 - Phone
- (404) 461-9105
- Fax
- (404) 881-0006
- NPI assigned
- Jul 2, 2013
- Organization subpart
- No
Authorized official
- Name
- Orazio Michele Amato
- Title
- President
- Phone
- (404) 461-9105
Practitioners 4
-
Jesse Crosby, PHARMD
-
James Edward Franken III, PHARMD
-
Regina Kaye Thigpen, RPH
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Alliance Community Pharmacy Corp |
Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Does not accept assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140121000446 | GA | DME Supplier - Pharmacy | 0648408609 | Practice locations: Atlanta, GA |
| O20140717000662 | GA | Part B Supplier - Pharmacy | 0648408609 | Practice locations: Atlanta, GA |
| O20230515003275 | GA | Part B Supplier - Mass Immunization (Roster Biller Only) | 0648408609 | Practice locations: Atlanta, GA |
National Provider Directory
Locations
1529 Piedmont Ave NE
Ste C
Atlanta, GA 30324
Phone (404) 461-7994
1016 Piedmont Ave NE
Atlanta, GA 30309
Phone (404) 875-9919
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
1016 Piedmont Ave NE
Atlanta, GA 30309-3702
Mailing address
1016 Piedmont Ave NE
Atlanta, GA 30309-3702
Phone (404) 461-9105
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003136869A | Medicaid | GA | |
| PHRE011122 | Other | GA | GA RETAIL PHARMACY LICENSE |
Other names
- Alliance Community Pharmacy
Other providers in Atlanta, GA
- Patricia Alley
- Deborah Dubique Alleyne
- Felicia Allgood
- Allhealth Medical
- Alliance Care Specialists LLC
- Alliance Dental PC
- Alliance Health and Care Group LLC
- Alliance Health Center PC
- Alliance Medical Consulting, LLC
- Alliance Surgery Center at Sandy Springs LLC
All providers in Atlanta, 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 May 29, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.