Organization Active NPI

Atlanta Pharmacy Group, Inc.

  • Community/Retail Pharmacy
  • Palmetto, GA
National Provider Identifier
1881150175
Registry record updated Feb 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
ATLANTA PHARMACY GROUP, INC.
Practice address
405 Carlton Rd
Palmetto, GA 30268-1052
Phone
(770) 463-4031
NPI assigned
Feb 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2019

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

Authorized official

Name
Jennifer Lamb
Title
Compliance Officer
Phone
(770) 474-7693

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

405 Carlton Rd
Palmetto, GA 30268-1052

Mailing address

PO Box 580
McDonough, GA 30253-0580

Other names 1

  • Wender & Roberts Drugs - Palmetto Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190723002232 GA Part B Supplier - Mass Immunization (Roster Biller Only) 3375703515 4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Atlanta, GA

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

10930 Crabapple Rd
Roswell, GA 30075
Phone (770) 992-4111

791 Atlanta St
Roswell, GA 30075
Phone (770) 992-4111

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1549929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549929600000",
    "number": "1881150175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 580",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302530580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 CARLTON RD",
            "city": "PALMETTO",
            "state": "GA",
            "postal_code": "302681052",
            "telephone_number": "770-463-4031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA PHARMACY GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-12",
        "last_updated": "2019-02-12",
        "status": "A",
        "authorized_official_last_name": "LAMB",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "770-474-7693"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wender & Roberts Drugs - Palmetto",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palmetto, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; 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.