Pharmd on Demand Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

PHRE010197 Issued in GA

Legal business name

PHARMD ON DEMAND INC

Doing business as

PharmD on Demand, Inc.

Practice address

1971 Hog Mountain Rd
Suite 204
Watkinsville, GA 30677-1904

Phone

(706) 389-9501

Fax

(706) 705-6033

NPI assigned

Nov 16, 2015

Organization subpart

No

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

Authorized official

Name

Michael Azzolin

Title

Coo

Phone

(706) 389-9501

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• PharmD on Demand, Inc. Doing business as

Tax ID family

Pharmd on Demand Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pharmd on Demand Inc

  • Clinical Pharmacology Physician
  • Watkinsville, GA
  • NPI 1679216139
  NPD tax ID

Locations

Practitioners 1

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

• Cory Swymer, PHARMD

  • Pharmacist
  • Eatonton, GA
  • NPI 1356762041
  NPD

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

{
    "created_epoch": "1447632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466035200000",
    "number": "1851765879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 HAWTHORNE AVE",
            "address_2": "SUITE 16",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062508",
            "telephone_number": "706-389-9501",
            "fax_number": "877-974-2763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1971 HOG MOUNTAIN RD",
            "address_2": "SUITE 204",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306771904",
            "telephone_number": "706-389-9501",
            "fax_number": "706-705-6033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMD ON DEMAND INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-16",
        "last_updated": "2016-06-16",
        "status": "A",
        "authorized_official_last_name": "AZZOLIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "706-389-9501"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "GA",
            "license": "PHRE010197",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2155426",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PharmD on Demand, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Peterson, RBT
• Sabrina Peterson, PHARM D
• Dee William Pettigrew III, M.D.
• Kaitlyn Pfannkuche, LCSW
• Pharmd on Demand Inc
• Randi Phillips
• Piedmont Athens Regional Medical Center Inc (Oconee Drugs)
• Andres Alejandro Pina
• Pinnacle Dermatology, S.C.
• Amanda Eanes Pisciotta, PA

• Pharmacy in Watkinsville, GA
• Providers in Watkinsville, GA by specialty
• Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; 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.