Organization Active NPI

Global Care Pharmacy Inc.

  • Community/Retail Pharmacy
  • Riverdale, GA
National Provider Identifier
1952736514
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
GLOBAL CARE PHARMACY INC.
Practice address
773 Highway 138 SW Ste 13
Riverdale, GA 30296-1599
Phone
(770) 731-2641
Fax
(770) 731-2475
NPI assigned
Sep 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2021

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

Authorized official

Name
Edith Livinus U. Livinus, PHARMD
Title
Pharmacist
Phone
(404) 246-2166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

773 Highway 138 SW Ste 13
Riverdale, GA 30296-1599

Mailing address

773 Highway 138 SW Ste 13
Riverdale, GA 30296-1599
Phone (770) 731-2641

Other identifiers 1

IdentifierTypeStateIssuer
003138085AMedicaidGA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210324000424 GA Part B Supplier - Mass Immunization (Roster Biller Only) 5597172346 Practice locations: Riverdale, GA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1379030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622505600000",
    "number": "1952736514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "773 HIGHWAY 138 SW STE 13",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302961599",
            "telephone_number": "770-731-2641",
            "fax_number": "770-731-2475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "773 HIGHWAY 138 SW STE 13",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302961599",
            "telephone_number": "770-731-2641",
            "fax_number": "770-731-2475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLOBAL CARE PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-13",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A",
        "authorized_official_last_name": "LIVINUS",
        "authorized_official_first_name": "EDITH LIVINUS",
        "authorized_official_middle_name": "U.",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "404-246-2166",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003138085A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverdale, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; 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.