GEORGIA CVS PHARMACY LLC (NPI# 1023030814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023030814 |
| Entity Type | Organization |
| Organization Name | GEORGIA CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY #17129 |
| Practice Address |
100 Perimeter Center Pl Ne Atlanta GA 30346-1204 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 6782590889 |
| Practice Fax Number | 6782590889 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2016-10-17 |
| Authorized Official Name | SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS) |
| Authorized Official Telephone | 4017702751 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHRE010234 | GA | Suppliers |
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2016121 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #17129 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548504343 | Georgia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 441 Fair Rd, Statesboro, GA 30458-4913 | 2012-11-16 |
| 1528302403 | Georgia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1520 Avenue Pl, Suite B-100, Atlanta, GA 30329-4015 | 2012-11-16 |
| 1710232913 | Georgia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 5900 Watson Blvd, Warner Robins, GA 31093-8669 | 2012-07-13 |
| 1811256605 | Georgia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3674 Highway 5, Douglasville, GA 30135-2364 | 2012-05-14 |
| 1447528039 | Georgia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1680 Old Pendergrass Rd, Jefferson, GA 30549-2701 | 2011-12-09 |
| 1437458593 | Georgia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3595 Atlanta Hwy, Athens, GA 30606-3152 | 2011-03-15 |
| 1174771521 | Georgia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 5570 Roswell Rd, Sandy Springs, GA 30342-1861 | 2008-08-28 |
| 1083875173 | Georgia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 13055 Highway 9 N, Milton, GA 30004-5137 | 2008-06-20 |
| 1881870806 | Georgia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 5865 Spout Springs Rd, Flowery Branch, GA 30542-3448 | 2008-01-22 |
| 1033303961 | Georgia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 5950 State Bridge Rd, Duluth, GA 30097-6438 | 2007-09-04 |
| Street Address |
100 PERIMETER CENTER PL NE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30346-1204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447677539 | Francesca Gransberry | Pharmacist | 100 Perimeter Center Pl Ne, Atlanta, GA 30346-1204 | 2014-03-26 |
| 1265868962 | Elham Ansari | Pharmacist | 100 Perimeter Center Pl Ne, Atlanta, GA 30346-1204 | 2013-09-25 |
| 1366784118 | Constance Chin Richendollar | Pharmacist | 100 Perimeter Center Pl Ne, Atlanta, GA 30346-1204 | 2013-03-20 |
| 1770834640 | Jennifer H Bass | Pharmacist | 100 Perimeter Center Pl Ne, Atlanta, GA 30346-1204 | 2012-10-01 |
| 1063761112 | Kimberly Christine Trinidad | Pharmacist | 100 Perimeter Center Pl Ne, Atlanta, GA 30346-1204 | 2012-09-05 |
| 1316214315 | Charlotte Carney | Pharmacist | 100 Perimeter Center Pl Ne, Atlanta, GA 30346-1204 | 2011-11-19 |
| 1063799500 | Aamani Parchuri | Pharmacist | 100 Perimeter Center Pl Ne, T-2036, Atlanta, GA 30346-1204 | 2011-11-11 |
| 1740569565 | Ruaa Nabil Al-baldawi | Pharmacist | 100 Perimeter Center Pl Ne, Target 2036, Atlanta, GA 30346-1204 | 2011-08-10 |
| 1225322407 | Dana Kay Davis | Pharmacist | 100 Perimeter Center Pl Ne, T-2036, Atlanta, GA 30346-1204 | 2011-06-05 |
| 1831234053 | Icare Specialists of Warrior, Inc. | Optometrist | 100 Perimeter Center Pl Ne, Atlanta, GA 30346-1204 | 2007-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730694332 | Man Fung Lam | Behavioral Analyst | 302 Perimeter Ctr N Apt 2431, Atlanta, GA 30346 | 2017-12-05 |
| 1518413897 | Terre Cheely | Nurse Practitioner | 2 Ravinia Drive Suite 500, Atlanta, GA 30346 | 2016-08-28 |
| 1790139954 | Rachel Brandeis | Dietitian, Registered | 400 Perimeter Center Terrace North, Suite 900, Atlanta, GA 30346 | 2016-04-14 |
| 1952778441 | Kaitlyn Victoria Fredrick | Nurse Practitioner | 41 Perimeter Ctr E Ste 250, Dunwoody, GA 30346 | 2015-08-31 |
| 1689917965 | Taryn Abrams | Psychiatry & Neurology | 41 Perimeter Center East, Suite 250, Dunwoody, GA 30346 | 2013-04-04 |
| 1154683381 | Coby John Lund | Behavioral Analyst | 53 Perimeter Center East, Suite 350, Atlanta, GA 30346 | 2012-06-13 |
| 1306113832 | Shannah Melanie Bachar | Behavioral Analyst | 53 Perimeter Center East Suite 350, Atlanta, GA 30346 | 2011-11-29 |
| 1740561125 | Jblb Holdings, LLC | Electrodiagnostic Medicine | 400 Perimeter Center Ter North, Suite 900, Atlanta, GA 30346 | 2011-08-30 |
| 1215109996 | Alphonso D Porter | Technician/Technologist | 3118-a Washington Rd, East Point, GA 30346 | 2008-04-02 |
| 1437275005 | Elaine Gilner Friedman | Social Worker | 12234 Madison Drive, Atlanta, GA 30346 | 2007-03-22 |
| Find all providers in zip 30346 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
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|---|---|---|---|---|
| 1295373702 | Downtown Pharmacy LLC | Pharmacy | 236 Forsyth St Sw Ste 202b, Atlanta, GA 30303-3786 | 2019-12-16 |
| 1467003467 | Selamawit Dejene | Pharmacy | 464 Bishop St Nw Apt 336, Atlanta, GA 30318-5384 | 2019-09-23 |
| 1194216697 | 874 Total Pharmacy LLC | Pharmacy | 874 Ralph David Abernathy Blvd Sw, Atlanta, GA 30310-1829 | 2018-05-21 |
| 1144721531 | Ben Hill Pharmacy Inc. | Pharmacy | 3740 Campbellton Rd Sw, Atlanta, GA 30331-5222 | 2018-02-22 |
| 1487199972 | Cardinal Health 132, LLC | Pharmacy | 424 Decatur Street Ne, Suite 100, Atlanta, GA 30303 | 2016-12-20 |
| 1366991283 | Aids Healthcare Foundation | Pharmacy | 1858 Cheshire Bridge Rd Ne, Atlanta, GA 30324-4945 | 2016-10-04 |
| 1730637562 | Headland Pharmacy LLC | Pharmacy | 2973 Headland Dr Sw, Suite B, Atlanta, GA 30311-5434 | 2016-09-21 |
| 1336543461 | Publix Super Markets Inc | Pharmacy | 2020 Howell Mill Rd Nw Ste A, Atlanta, GA 30318-1732 | 2014-10-17 |
| 1558772400 | Robinson Family Pharmacy LLC | Pharmacy | 213 N Pinecrest Dr, Atlanta, TX 75551-3130 | 2014-05-14 |
| 1811321763 | Kaiser Foundation Health Plan of Georgia, Inc. | Pharmacy | 1100 Lake Hearn Dr Ste 500, Atlanta, GA 30342-1548 | 2013-08-28 |
| Find all providers in ATLANTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.