Organization Active NPI

Macs LTC Pharmacy Georgia LLC

  • Long Term Care Pharmacy
  • Norcross, GA
National Provider Identifier
1942800271
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
MACS LTC PHARMACY GEORGIA LLC
Practice address
1351 Oakbrook Dr Ste 110
Norcross, GA 30093-2242
Phone
(877) 638-8716
NPI assigned
Oct 27, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Authorized official

Name
Mr. Michael S Wilhoit
Title
President / Owner
Phone
(865) 806-6453

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

1351 Oakbrook Dr Ste 110
Norcross, GA 30093-2242

Mailing address

643 Edgemoor Rd Ste B
Powell, TN 37849-7146
Phone (865) 945-4441

Other names 1

  • Macs LTC Pharmacy Georgia Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210407002608 GA Part B Supplier - Pharmacy 3577970623 Practice locations: Norcross, GA

National Provider Directory

National Provider Directory

Locations

1351 Oakbrook Dr
Ste 110
Norcross, GA 30093
Phone (877) 638-8716

Practitioners & affiliated clinicians

Practitioners 4

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": "1603756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727308800000",
    "number": "1942800271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "643 EDGEMOOR RD STE B",
            "city": "POWELL",
            "state": "TN",
            "postal_code": "378497146",
            "telephone_number": "865-945-4441",
            "fax_number": "865-945-4158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 OAKBROOK DR STE 110",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300932242",
            "telephone_number": "877-638-8716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACS LTC PHARMACY GEORGIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-27",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A",
        "authorized_official_last_name": "WILHOIT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "865-806-6453",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Macs LTC Pharmacy Georgia",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Macs LTC Pharmacy Georgia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norcross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.