C & C Pharmacy Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE005178 Issued in GA

Legal business name

C & C PHARMACY INC.

Practice address

621 W Memorial Dr
Dallas, GA 30132-4120

Phone

(770) 445-2600

Fax

(770) 445-1626

NPI assigned

Jul 1, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Kimberly B Curl

Title

President

Phone

(770) 445-2600

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

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

• Wendy Buttrey

  • Pharmacist
  • Dallas, GA
  • NPI 1356935688
  NPD (past)

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982633277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 W MEMORIAL DR",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301324120",
            "telephone_number": "770-445-2600",
            "fax_number": "770-445-1626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 W MEMORIAL DR",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301324120",
            "telephone_number": "770-445-2600",
            "fax_number": "770-445-1626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C & C PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CURL",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-445-2600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE005178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00031534A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katelyn Marie Butler, BCBA
• Miriam Butler
• Wendy Buttrey
• Melanie Grace Byler, PT, DPT, ATC
• Raven Andrianna Byrd
• Gary Cain, LCSW
• Heidi Ann Callahan, ATC
• Dadra Sophia Opal-Marie Campbell Ramsamugh, MSN,PMHNP-BC
• Dayra Campos
• Jamie Caraway, SLP,CCC

• Community/Retail Pharmacy in Dallas, GA
• Providers in Dallas, 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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.