A & a Pharmacy LLC – Community/Retail Pharmacy

Key facts

NPI: 1881133064
Entity type: Organization (NPI type 2)
Primary specialty: Community/Retail Pharmacy 3336C0003X
License: PHRE010340 (GA)
Legal business name: A & A PHARMACY LLC
Practice address: 4683 Log Cabin Dr
Macon, GA 31204-6317
Phone: (478) 284-1028
NPI assigned: Feb 21, 2017
Organization subpart: No

Authorized official

Name: Vijay Patel
Title: Pharmacy Manager/President
Phone: (478) 284-1028

Practitioners 1

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

Vijay H Patel Pharmacist · Macon, GA · NPI 1710260575

NPD

Medicare participation

Medicare fee-for-service enrollment: Enrolled in GA

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20171013002834	GA	Part B Supplier - Mass Immunization (Roster Biller Only)	1254606411	Practice locations: Macon, GA

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Community/Retail Pharmacy	3336C0003X	PHRE010340	GA	Yes

Addresses

Primary practice location

4683 Log Cabin Dr
Macon, GA 31204-6317

Mailing address

404 Barrington Hall Dr
Macon, GA 31220-0703
Phone (478) 284-1028

Other names

Macon Pharmacy Doing business as

Other providers in Macon, GA

All providers in Macon, GA · Community/Retail Pharmacy in Georgia

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2017. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider 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.