M White Holdings LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE004985 Issued in GA

Legal business name

M WHITE HOLDINGS LLC

Practice address

5705 Buford Hwy NE
Doraville, GA 30340-1206

Phone

(770) 455-4433

Fax

(770) 454-9144

NPI assigned

May 3, 2006

Organization subpart

No

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

Authorized official

Name

Mark White, RPHNPI 1679896773

Title

President

Phone

(770) 455-4433

Specialties & licenses 4

Addresses

Other identifiers 3

Other names 1

• COLLIERS PHARMACY Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Hedge White, RPH., PD

  • Pharmacist
  • Doraville, GA
  • NPI 1679896773
  NPD (past) Authorized official

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492128000000",
    "number": "1972561389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 620679",
            "city": "DORAVILLE",
            "state": "GA",
            "postal_code": "303622679",
            "telephone_number": "770-145-4433",
            "fax_number": "770-454-9144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5705 BUFORD HWY NE",
            "city": "DORAVILLE",
            "state": "GA",
            "postal_code": "303401206",
            "telephone_number": "770-455-4433",
            "fax_number": "770-454-9144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M WHITE HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2017-04-14",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-455-4433",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE004985",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2013845",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00119666A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00119666B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COLLIERS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joe C Liu, M.D.
• Ling Liu
• Shinte Liu, M.D.
• Victoria Christine Louth, OTR/L
• LPN Solutions Inc
• Axel Martinez
• Abby Elyce Mathis, MS, CCC-SLP
• Stephanie Maurice
• Tamara McLarty
• Medcura Health, Inc.

• Community/Retail Pharmacy in Doraville, GA
• Providers in Doraville, 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 Apr 14, 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.