Active NPI
Atlanta Pharmacy Group, Inc.
- Community/Retail Pharmacy
- Palmetto, GA
National Provider Identifier
1881150175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
-
- Community/Retail Pharmacy
- Stockbridge, GA
- NPI 1902464571
O20190723002232
National Provider Directory
National Provider DirectoryLocations
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.
-
- Community/Retail Pharmacy
- Roswell, GA
- NPI 1598386351
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.