Headland Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE010293 Issued in GA

Legal business name

HEADLAND PHARMACY LLC

Practice address

2973 Headland Drive
Suite B
Atlanta, GA 30331

Phone

(404) 344-0209

Fax

(404) 344-1181

NPI assigned

Jun 14, 2016

Last updated

Feb 21, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Margot Yvonne Garrick, PHARMD

Title

Pharmacist

Phone

(404) 344-0209

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Headland Pharmacy LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Headland Pharmacy

  • Pharmacist
  • East Point, GA
  • NPI 1003227711
  NPD tax ID
• Headland Pharmacy LLC

  • Pharmacy
  • Atlanta, GA
  • NPI 1730637562
  NPD tax ID

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

{
    "created_epoch": "1465862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487635200000",
    "number": "1912357641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2973 HEADLAND DRIVE",
            "address_2": "SUITE B",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30331",
            "telephone_number": "404-344-0209",
            "fax_number": "404-344-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2973 HEADLAND DRIVE",
            "address_2": "SUITE B",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30331",
            "telephone_number": "404-344-0209",
            "fax_number": "404-344-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEADLAND PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-14",
        "last_updated": "2017-02-21",
        "status": "A",
        "authorized_official_last_name": "GARRICK",
        "authorized_official_first_name": "MARGOT",
        "authorized_official_middle_name": "YVONNE",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "404-344-0209",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE010293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST",
            "identifier": "RPH022959",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Colton Kenneth Head, PT, DPT
• Delphanie Deshan Head, M.D.
• Lyndsay Walters Head, M.D.
• Shelia Head, LCSW
• Headland Pharmacy LLC
• Kristopher James Headlee, D.C.
• Michael Headley
• Shantelle Headley
• Heal & Go Medical Transportation, LLC
• Heal Atl Counseling & Wellness

• Community/Retail Pharmacy in Atlanta, GA
• Providers in Atlanta, 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 Feb 21, 2017; 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.