NPIMap

Organization Active NPI

Old National Drug Pharmacy

  • Pharmacy
  • College Park, GA
National Provider Identifier
1891106605
Registry record updated May 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PHR010012 Issued in GA
Legal business name
OLD NATIONAL DRUG PHARMACY
Practice address
5615 Old National Hwy
B
College Park, GA 30349-3811
Phone
(404) 209-0070
NPI assigned
May 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2014

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

Authorized official

Name
Shari HarrisNPI 1932453644
Title
Pharmacist in Charge
Phone
(404) 402-8385

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHR010012 GA Primary

Addresses

Primary practice location

5615 Old National Hwy
B
College Park, GA 30349-3811

Mailing address

5615 Old National Hwy
B
College Park, GA 30349-3811
Phone (404) 209-0070

National Provider Directory

National Provider Directory

Locations

5615 Old National Hwy
Ste B
College Park, GA 30349
Phone (404) 209-0070

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": "1400025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400025600000",
    "number": "1891106605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5615 OLD NATIONAL HWY",
            "address_2": "B",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303493811",
            "telephone_number": "404-209-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5615 OLD NATIONAL HWY",
            "address_2": "B",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303493811",
            "telephone_number": "404-209-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLD NATIONAL DRUG PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-14",
        "last_updated": "2014-05-14",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "SHARI",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "404-402-8385"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "GA",
            "license": "PHR010012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Park, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2014; 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.