Athens Medical Arts Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE006424 Issued in GA

Legal business name

ATHENS MEDICAL ARTS PHARMACY INC

Doing business as

Hawthorne Drug Company

Practice address

975 Hawthorne Ave
Suite a
Athens, GA 30606-2194

Phone

(706) 548-5227

Fax

(706) 353-8134

NPI assigned

Oct 20, 2006

Last updated

Nov 23, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brandon Ullrich

Title

Manager

Phone

(706) 548-5227

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• HAWTHORNE DRUG COMPANY Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andres Arthur Ullrich, R.PH.

  • Pharmacist
  • Athens, GA
  • NPI 1528015724
  NPD

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479859200000",
    "number": "1851473649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 HAWTHORNE AVE",
            "address_2": "SUITE A",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062194",
            "telephone_number": "706-548-5227",
            "fax_number": "706-353-8134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 HAWTHORNE AVE",
            "address_2": "SUITE A",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062194",
            "telephone_number": "706-548-5227",
            "fax_number": "706-353-8134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHENS MEDICAL ARTS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2016-11-23",
        "status": "A",
        "authorized_official_last_name": "ULLRICH",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "706-548-5227"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE006424",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0031699A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2017475",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HAWTHORNE DRUG COMPANY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Athens Kids Specialists, PC (Athens Kids)
• Athens Lithotrispy, LLC
• Athens Maternal-Fetal Medicine, PC
• Athens Medical and Rehabilitative Services Inc
• Athens Medical Arts Pharmacy Inc (Hawthorne Drug Company)
• Athens Medical Associates PC
• Athens Medical Solutions LLC
• Athens Model Neighborhood Health Center Inc (Hillsman Health Center)
• Athens Model Neighborhood Health Center Inc
• Athens Model Neighborhood Health Center Inc

• Community/Retail Pharmacy in Athens, GA
• Providers in Athens, 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 Nov 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.