Decatur Apothecary

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

007765 Issued in GA

Legal business name

DECATUR APOTHECARY

Doing business as

THE MEDICINE SHOPPE

Practice address

3055 Saint Andrews Dr
Duluth, GA 30096-3584

Phone

(770) 813-8083

Fax

(770) 813-9365

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Ramiro Cepero, PHDNPI 1871197566

Title

Owner

Phone

(770) 813-8083

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• THE MEDICINE SHOPPE Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ramiro Cepero, PHARM D

  • Pharmacist
  • Suwanee, GA
  • NPI 1871197566
  NPD Authorized official

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314662400000",
    "number": "1851403794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3055 SAINT ANDREWS DR",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300963584",
            "telephone_number": "770-813-8083",
            "fax_number": "770-813-9365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3055 SAINT ANDREWS DR",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300963584",
            "telephone_number": "770-813-8083",
            "fax_number": "770-813-9365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECATUR APOTHECARY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2011-08-30",
        "status": "A",
        "authorized_official_last_name": "CEPERO",
        "authorized_official_first_name": "RAMIRO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-813-8083",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "007765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00820168",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1128051",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE MEDICINE SHOPPE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Countess Dean
• Kenyatta Victoria Dean, DO
• Sharon Dearmond
• Hannah Faith Deaton
• Bryon Seth Debowsky, DDS
• Teresa Marie Decenzo-Verbeten, O.D.
• Shaen Deimling, MD
• Delight IV Hydration and Wellness LLC
• Miguel B Delmazo, MD
• Roberta Katrina Deloach

• Community/Retail Pharmacy in Duluth, GA
• Providers in Duluth, 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 Aug 30, 2011; 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.