NPIMap

Organization Active NPI

Pharmaceutical Concepts PC

Doing business as Lula Pharmacy & Foothills Gift Shop

  • Long Term Care Pharmacy
  • Lula, GA
National Provider Identifier
1972324374
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
PHARMACEUTICAL CONCEPTS PC
Doing business as
Lula Pharmacy & Foothills Gift Shop
Practice address
6102 Banks St
Lula, GA 30554-5114
Phone
(770) 869-3616
Fax
(770) 869-9080
NPI assigned
Oct 18, 2024
Last updated
Oct 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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

Authorized official

Name
Amy MillerNPI 1417945338
Title
Cfo
Phone
(770) 869-3616

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

6102 Banks St
Lula, GA 30554-5114

Mailing address

PO Box 436
Lula, GA 30554-0436
Phone (770) 869-3616

Other names 1

  • Lula Pharmacy & Foothills Gift Shop Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lula Pharmacy and Foothills Gift Shop2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 4

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": "1729209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729209600000",
    "number": "1972324374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 436",
            "city": "LULA",
            "state": "GA",
            "postal_code": "305540436",
            "telephone_number": "770-869-3616",
            "fax_number": "770-869-9080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6102 BANKS ST",
            "city": "LULA",
            "state": "GA",
            "postal_code": "305545114",
            "telephone_number": "770-869-3616",
            "fax_number": "770-869-9080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACEUTICAL CONCEPTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-18",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "770-869-3616"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lula Pharmacy & Foothills Gift Shop",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lula, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; 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.