Organization Active NPI

Pooles Pharmacy Incorporated

Doing business as Pooles Pharmacy

  • Community/Retail Pharmacy
  • Marietta, GA
National Provider Identifier
1982798476
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHRE005435 Issued in GA
Legal business name
POOLES PHARMACY INCORPORATED
Doing business as
Pooles Pharmacy
Practice address
660 Whitlock Ave NW Ste G-1
Marietta, GA 30064-3174
Phone
(770) 514-1414
Fax
(770) 514-8300
NPI assigned
Oct 2, 2006
Last updated
Feb 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Authorized official

Name
Sharon SherrerNPI 1982695003
Title
Pharmacist/Owner
Phone
(770) 514-1414

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHRE005435 GA Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

660 Whitlock Ave NW Ste G-1
Marietta, GA 30064-3174

Mailing address

660 Whitlock Ave NW
Ste G-1
Marietta, GA 30064-3174
Phone (770) 514-1414

Other identifiers 2

IdentifierTypeStateIssuer
2020409OtherPK
000860758AMedicaidGA

Other names 1

  • POOLES PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080227000684 GA Part B Supplier - Mass Immunization (Roster Biller Only) 4284718347 Practice locations: Marietta, GA
O20181204000902 GA DME Supplier - Pharmacy 4284718347 Practice locations: Marietta, GA

National Provider Directory

National Provider Directory
Tax ID family
Poole's Pharmacy Incorporated2 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.

Locations

55 Whitcher St NE
Ste 110
Marietta, GA 30060
Phone (770) 514-1414

660 Whitlock Ave NW
Ste G
Marietta, GA 30064
Phone (770) 514-1414

660 Whitlock Ave NW
Ste G1
Marietta, GA 30064
Phone (770) 514-1414

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": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739923200000",
    "number": "1982798476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 WHITLOCK AVE NW",
            "address_2": "STE G-1",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300643174",
            "telephone_number": "770-514-1414",
            "fax_number": "770-514-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 WHITLOCK AVE NW STE G-1",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300643174",
            "telephone_number": "770-514-1414",
            "fax_number": "770-514-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POOLES PHARMACY INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A",
        "authorized_official_last_name": "SHERRER",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "770-514-1414"
    },
    "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": "PHRE005435",
            "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": "2020409",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000860758A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "POOLES PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.