Atlanta Pharmacy Group, Inc.
Organization Active NPI Community/Retail Pharmacy · Stockbridge, GA
NPI 1902464571 · NPPES record last updated May 30, 2019
Key facts
- NPI
- 1902464571
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- ATLANTA PHARMACY GROUP, INC.
- Practice address
- 106B Rock Quarry Rd Ste B
Stockbridge, GA 30281-3707 - Phone
- (770) 474-7693
- NPI assigned
- May 30, 2019
- Organization subpart
- Yes
- Parent organization (as reported)
- ATLANTA PHARMACY GROUP, INC.
Authorized official
- Name
- Jennifer Lamb
- Title
- Compliance Officer
- Phone
- (770) 474-7693
Other NPIs on the same Medicare enrollment 2
Corporate family (same tax ID) 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| 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 Practice locations: Atlanta, GA |
National Provider Directory
- Tax ID family
- Wender Roberts Drugs WPF
- Part of
- Wender Roberts Drugs WPF
Locations
106 Rock Quarry Rd
Ste B
Stockbridge, GA 30281
Phone (770) 474-7693
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
106B Rock Quarry Rd Ste B
Stockbridge, GA 30281-3707
Mailing address
106B Rock Quarry Rd Ste B
Stockbridge, GA 30281-3707
Phone (770) 474-7693
Other providers in Stockbridge, GA
- Asthma Allergy and Immunology Clinic LLC
- Athalia Health System Corp.
- Atlanta Kidney Specialists LLC
- Atlanta Knee and Shoulder Clinic PC
- Atlanta Neurology and Electrodiagnostic Center, PC
- Atlanta Psychotherapy
- Atlanta Psychotherapy
- Atlanta Psychotherapy, LLC
- Atlanta South Physical Therapy, Inc
- Atlanta South Physical Therapy, Inc
All providers in Stockbridge, 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 May 30, 2019. 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.