NPIMap

Organization Active NPI

Concord Inc

Doing business as Concord Drugs

  • Community/Retail Pharmacy
  • Atlanta, GA
National Provider Identifier
1972519106
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHRE006062 Issued in GA
Legal business name
CONCORD INC
Doing business as
Concord Drugs
Practice address
993-D Johnson Ferry Rd
Suite 230
Atlanta, GA 30342
Phone
(404) 255-0526
Fax
(404) 255-6357
NPI assigned
Jul 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Lisa A McCord
Title
Corporate Secretary
Phone
(770) 671-0657

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHRE006062 GA Primary

Addresses

Primary practice location

993-D Johnson Ferry Rd
Suite 230
Atlanta, GA 30342

Mailing address

8046 Roswell Rd
Suite 202
Atlanta, GA 30350-7023
Phone (770) 671-0657

Other identifiers 1

IdentifierTypeStateIssuer
00890458-AMedicaidGA

Other names 1

  • Concord Drugs Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Concord Drugs4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

993 Johnson Ferry Rd
Ste 230
Sandy Springs, GA 30342
Phone (404) 255-0526

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972519106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8046 ROSWELL RD",
            "address_2": "SUITE 202",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303507023",
            "telephone_number": "770-671-0657",
            "fax_number": "770-393-0835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "993-D JOHNSON FERRY RD",
            "address_2": "SUITE 230",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30342",
            "telephone_number": "404-255-0526",
            "fax_number": "404-255-6357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCORD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCORD",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CORPORATE SECRETARY",
        "authorized_official_telephone_number": "770-671-0657"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE006062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00890458-A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Concord Drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.