Organization Active NPI

Physicians RX Pharmacy of Newman LLC

  • Community/Retail Pharmacy
  • Newnan, GA
National Provider Identifier
1841693983
Registry record updated Mar 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHRE010101 Issued in GA
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

Updated by the provider on Mar 4, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2148230OtherPK
003154724AMedicaidGA

Other names 1

  • Physicians Rx Pharmacy of Newnan LLC Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.