Physicians Pharmacy & Medical Supply LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PHYSICIANS PHARMACY & MEDICAL SUPPLY LLC

Practice address

3875 Austell Rd
Austell, GA 30106-1103

Phone

(770) 944-9101

Fax

(770) 944-7702

NPI assigned

Feb 8, 2006

Organization subpart

No

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

Authorized official

Name

Pam Marquess, PHARMD

Title

Pharmacist

Phone

(678) 463-9598

Specialties & licenses 3

Addresses

Other names 1

• Physicians Pharmacy Doing business as

Locations

Practitioners 2

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

• Janice Wynell Carlile, R.PH.

  • Pharmacist
  • Austell, GA
  • NPI 1992706915
  NPD (past)
• Ofelia Maria Pineda

  • Pharmacist
  • Austell, GA
  • NPI 1194167767
  NPD (past)

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592524800000",
    "number": "1902879265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3875 AUSTELL RD",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061103",
            "telephone_number": "770-944-9101",
            "fax_number": "770-944-7702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3875 AUSTELL RD",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061103",
            "telephone_number": "770-944-9101",
            "fax_number": "770-944-7702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS PHARMACY & MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-08",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A",
        "authorized_official_last_name": "MARQUESS",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "678-463-9598",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "2006#5066",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physicians Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Physicians Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Travis Lamont Perry, MD
• Phillip L. Potter, MD, Facog, PC
• Sierra Green Phillips, M.D.
• Sofia Phirtskhalava
• Physicians Pharmacy & Medical Supply LLC
• Physicians Pharmacy and Medical Supply, LLC
• Clifford Pickett, MD
• Ofelia Maria Pineda
• Alyssa Ruth Filomeno Pingue
• Guillaume J Pinguet

• Community/Retail Pharmacy in Austell, GA
• Providers in Austell, GA by specialty
• Community/Retail Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2020; 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.