Active NPI
Physicians RX Pharmacy of Newman LLC
- Community/Retail Pharmacy
- Newnan, GA
National Provider Identifier
1841693983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHRE010101
- Legal business name
- PHYSICIANS RX PHARMACY OF NEWMAN LLC
- Practice address
- 770 Greison TRL
Newnan, GA 30263-6408 - Phone
- (404) 870-7748
- Fax
- (800) 466-1601
- NPI assigned
- Oct 3, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Donald Smith
- Title
- Ceo
- Phone
- (301) 789-9288
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PHRE010101 | GA | Primary |
Addresses
Primary practice location
770 Greison TRL
Newnan, GA 30263-6408
Mailing address
C/O D Cutuli
Koppers Building 6TH Floor, 436 Seventh Avenue
Pittsburgh, PA 15219
Phone (412) 391-2920
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2148230 | Other | PK | |
| 003154724A | Medicaid | GA |
Other names 1
- Physicians Rx Pharmacy of Newnan LLC
National Provider Directory
National Provider DirectoryLocations
436 7th Ave
Bldg 6TH
Pittsburgh, PA 15219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412294400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1425427200000",
"number": "1841693983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "C/O D CUTULI",
"address_2": "KOPPERS BUILDING 6TH FLOOR, 436 SEVENTH AVENUE",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "15219",
"telephone_number": "412-391-2920",
"fax_number": "412-391-4703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "770 GREISON TRL",
"city": "NEWNAN",
"state": "GA",
"postal_code": "302636408",
"telephone_number": "404-870-7748",
"fax_number": "800-466-1601"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSICIANS RX PHARMACY OF NEWMAN LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-03",
"last_updated": "2015-03-04",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "DONALD",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "301-789-9288"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "GA",
"license": "PHRE010101",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2148230",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003154724A",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Physicians Rx Pharmacy of Newnan LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Newnan, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.