Active NPI
SSRX LLC
- Community/Retail Pharmacy
- Atlanta, GA
National Provider Identifier
1841867421
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- SSRX LLC
- Practice address
- 755 Mount Vernon Highway, NE
Ste 450
Atlanta, GA 30328-4292 - Phone
- (713) 660-8888
- Fax
- (713) 661-4828
- NPI assigned
- Jun 10, 2021
- 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
- Mark Gary Fetcenko
- Title
- Coo
- Phone
- (713) 660-8888
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary | ||
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
755 Mount Vernon Highway, NE
Ste 450
Atlanta, GA 30328-4292
Mailing address
6330 West Loop South
Suite 700, 7TH Floor
Bellaire, TX 77401-2928
Phone (832) 553-1385
National Provider Directory
National Provider Directory- Tax ID family
- SSRX LLC
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Bellaire, TX
- NPI 1689241283
Locations
755 Mount Vernon Hwy NE
Ste 450
Sandy Springs, GA 30328
Phone (470) 377-4054
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623283200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1623283200000",
"number": "1841867421",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6330 WEST LOOP SOUTH",
"address_2": "SUITE 700, 7TH FLOOR",
"city": "BELLAIRE",
"state": "TX",
"postal_code": "774012928",
"telephone_number": "832-553-1385",
"fax_number": "713-661-4828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "755 MOUNT VERNON HIGHWAY, NE",
"address_2": "STE 450",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303284292",
"telephone_number": "713-660-8888",
"fax_number": "713-661-4828"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SSRX LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-10",
"last_updated": "2021-06-10",
"certification_date": "2021-06-10",
"status": "A",
"authorized_official_last_name": "FETCENKO",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "GARY",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "713-660-8888"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.