New Start Treatment, LLC

Primary specialty

Clinic PharmacyTaxonomy code 3336C0002X

License

PH000059 Issued in GA

Legal business name

NEW START TREATMENT, LLC

Doing business as

New Start treatment, LLC

Practice address

1615 Highway 19 N
User
Thomaston, GA 30286-2277

Phone

(706) 646-2095

NPI assigned

Mar 24, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Clarence Michael Johnson, PHARMACIST

Title

Pharmacist

Phone

(706) 646-2095

Specialties & licenses 1

Addresses

Other names 1

• New Start treatment, LLC Doing business as

Locations

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

{
    "created_epoch": "1300924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300924800000",
    "number": "1861791246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 HIGHWAY 19 NORTH",
            "address_2": "1615 HIGHWAY 19 NORTH",
            "city": "THOMASTON",
            "state": "GA",
            "postal_code": "30286",
            "telephone_number": "706-646-2095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 HIGHWAY 19 N",
            "address_2": "USER",
            "city": "THOMASTON",
            "state": "GA",
            "postal_code": "302862277",
            "telephone_number": "706-646-2095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW START TREATMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-24",
        "last_updated": "2011-03-24",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CLARENCE",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "706-646-2095",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "GA",
            "license": "PH000059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Start treatment, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinic Pharmacy in Thomaston, GA
• Providers in Thomaston, GA by specialty
• Clinic Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.