Camp Creek Village Pharmacy Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE009971 Issued in GA

Legal business name

CAMP CREEK VILLAGE PHARMACY INC.

Doing business as

Butner Village Pharmacy

Practice address

3220 Butner Rd SW Suite #130
Atlanta, GA 30331

Phone

(404) 228-0238

Fax

(404) 500-4111

NPI assigned

Nov 18, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Kenwin C.H. Morris, PHARMD

Title

Owner

Phone

(404) 228-0238

Specialties & licenses 1

Addresses

Other names 1

• Butner Village Pharmacy Doing business as

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

{
    "created_epoch": "1384732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384732800000",
    "number": "1881024479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 REXHAM WAY SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303317994",
            "telephone_number": "404-228-0238",
            "fax_number": "404-500-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 BUTNER RD SW SUITE #130",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30331",
            "telephone_number": "404-228-0238",
            "fax_number": "404-500-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMP CREEK VILLAGE PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-18",
        "last_updated": "2013-11-18",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "KENWIN",
        "authorized_official_middle_name": "C.H.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-228-0238",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE009971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Butner Village Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Camp Creek Pharmacy LLC
• Camp Creek Primary Care, PC
• Camp Creek Smiles
• Camp Creek Smiles Family Dentistry
• Camp Creek Urgent Care LLC
• Camp Creek Women'S Health Center
• Camp Creek Women'S Health Center, LLC
• Camp Creek Women'S Health Specialist
• Christina Marie Camp, PHD
• Mary Helen Froistad Camp

• Community/Retail Pharmacy in Atlanta, GA
• Providers in Atlanta, 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 18, 2013; 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.