NPIMap

Organization Active NPI

Georgia Regional Hospital Pharmacy

  • Pharmacy
  • Decatur, GA
National Provider Identifier
1881728749
Registry record updated Aug 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
044-232 Issued in GA
Legal business name
GEORGIA REGIONAL HOSPITAL PHARMACY
Practice address
3073 Panthersville Road
Patient Accounts Office
Decatur, GA 30034-3828
Phone
(404) 243-2158
Fax
(404) 243-2159
NPI assigned
Mar 15, 2007
Last updated
Aug 14, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2009

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

Authorized official

Name
Sonny Slate, COO
Title
Chief Operations Officer
Phone
(404) 243-2121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 044-232 GA Primary

Addresses

Primary practice location

3073 Panthersville Road
Patient Accounts Office
Decatur, GA 30034-3828

Mailing address

P.O. Box 370407
Patient Accounts Office
Decatur, GA 30034-3828
Phone (404) 243-2158

Other identifiers 2

IdentifierTypeStateIssuer
1119723OtherPHARMACY
000355715AOtherGAPHARMACY PROVIDER NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Department of Behavioral Health Developmental Disabilities Ga53 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 20

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 20

Locations

3073 Panthersville Rd
Ofc
Decatur, GA 30034
Phone (404) 243-2100

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250208000000",
    "number": "1881728749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 370407",
            "address_2": "PATIENT ACCOUNTS OFFICE",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300343828",
            "telephone_number": "404-243-2158",
            "fax_number": "404-243-2159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3073 PANTHERSVILLE ROAD",
            "address_2": "PATIENT ACCOUNTS OFFICE",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300343828",
            "telephone_number": "404-243-2158",
            "fax_number": "404-243-2159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA REGIONAL HOSPITAL PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2009-08-14",
        "status": "A",
        "authorized_official_last_name": "SLATE",
        "authorized_official_first_name": "SONNY",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "404-243-2121",
        "authorized_official_credential": "COO"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "GA",
            "license": "044-232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY",
            "identifier": "1119723",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY PROVIDER NUMBER",
            "identifier": "000355715A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2009; 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.