Organization Active NPI

Stephen D Adams Pharmacies Inc

  • Community/Retail Pharmacy
  • Gainesville, GA
National Provider Identifier
1972675759
Registry record updated Jul 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHRE007886 Issued in GA
Legal business name
STEPHEN D ADAMS PHARMACIES INC
Practice address
631 Broad St SE
Gainesville, GA 30501-3729
Phone
(770) 532-0186
Fax
(770) 503-1016
NPI assigned
Nov 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2016

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

Authorized official

Name
Stephen Adams, RPH
Title
Owner, Pic, Ao
Phone
(770) 532-0186

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHRE007886 GA Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

631 Broad St SE
Gainesville, GA 30501-3729

Mailing address

631 Broad St SE
Gainesville, GA 30501-3729
Phone (770) 532-0186

Other identifiers 2

IdentifierTypeStateIssuer
00673219AMedicaidGA
2012378OtherPK

Other names 1

  • LAWRENCE PHARMACY Doing business as

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.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468454400000",
    "number": "1972675759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 BROAD ST SE",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013729",
            "telephone_number": "770-532-0186",
            "fax_number": "770-503-1016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 BROAD ST SE",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013729",
            "telephone_number": "770-532-0186",
            "fax_number": "770-503-1016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN D ADAMS PHARMACIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2016-07-14",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER, PIC, AO",
        "authorized_official_telephone_number": "770-532-0186",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE007886",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00673219A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2012378",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAWRENCE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gainesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2016; 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.