TY COBB HEALTHCARE SYSTEM LONG TERM CARE PHARMACY (NPI# 1023092624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023092624 |
| Entity Type | Organization |
| Organization Name | TY COBB HEALTHCARE SYSTEM LONG TERM CARE PHARMACY |
| Other Organization Name | TY COBB LTC PHARMACY |
| Practice Address |
521 Franklin Springs St Royston GA 30662-3934 |
| Practice Telephone | 7062451467 |
| Practice Fax Number | 7062451421 |
| Mailing Telephone | 7062451467 |
| Mailing Fax Number | 7062451421 |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2013-01-25 |
| Authorized Official Name | JESSICA MCDONALD (DIRECTOR) |
| Authorized Official Telephone | 7062451271 |
| Authorized Official Credential | PHARM.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
PHRE005718 | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 1126095 | 01 | |
| GA | 00059562B | 05 |
| Other Name | Type Code |
|---|---|
| TY COBB LTC PHARMACY | Doing Business As Name - Organization |
| Street Address |
521 FRANKLIN SPRINGS ST |
| City | ROYSTON |
| State | GA |
| Zip Code | 30662-3934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649416660 | Veralynn Anesthesia Associates of Georgia, LLC | Nurse Anesthetist, Certified Registered | 521 Franklin Springs St, Dept of Anesthesia, Royston, GA 30662-3934 | 2008-12-22 |
| 1316191075 | Veralynn Health Management, LLC | Nurse Anesthetist, Certified Registered | 521 Franklin Springs St, Dept of Anesthesia, Royston, GA 30662-3934 | 2008-11-07 |
| 1417137951 | Emily Carlton Strickland | Speech-Language Pathologist | 521 Franklin Springs St, Royston, GA 30662-3934 | 2007-11-13 |
| 1083711691 | Ty Cobb Healthcare System | General Acute Care Hospital | 521 Franklin Springs St, Royston, GA 30662-3934 | 2006-09-19 |
| 1710095054 | Ty Cobb Healthcare System | Medicare Defined Swing Bed Unit | 521 Franklin Springs St, Royston, GA 30662-3934 | 2006-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073053963 | Crystal Roach | Occupational Therapist | 874 Halley Rd., Royston, GA 30662 | 2017-02-27 |
| 1477965358 | Community Care Pharmacy of Royston | Pharmacy | 635 Cook Street, Royston, GA 30662 | 2014-05-27 |
| 1407919731 | Abby H Bedichek | Occupational Therapist | 613 Cook Street, Royston, GA 30662 | 2006-12-18 |
| 1215005053 | Julian Douglas Sharpton | Family Medicine | 891 Church Street, Royston, GA 30662 | 2006-12-01 |
| 1043306509 | Diane Veronica Lewis | Licensed Practical Nurse | 1025 Cromers Bridge Road, Royston, GA 30662 | 2006-10-04 |
| 1154351591 | Shalimar Sheree Crowe | Specialist/Technologist | 181 Spring St, Royston, GA 30662 | 2006-07-03 |
| 1497735328 | Laurie Martin-kiser | Nurse Practitioner | 819 Church Street, Royston, GA 30662 | 2006-01-18 |
| 1619034584 | Patricia Kieley Adkins | Psychologist | 613 Cook Street, Royston, GA 30662 | 2007-01-02 |
| 1487719688 | Robin Turner Vining | Speech-Language Pathologist | 613 Cook St, Royston, GA 30662 | 2006-12-27 |
| 1528175593 | Ty Cobb Healthcare System | Skilled Nursing Facility | 545 Cook Street, Royston, GA 30662-0589 | 2006-08-24 |
| Find all providers in zip 30662 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| 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: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801209804 | Psi, LLC | Pharmacy | 635 Cook St, Royston, GA 30662-3932 | 2014-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942800271 | Macs Ltc Pharmacy Georgia LLC | Pharmacy | 1351 Oakbrook Dr Ste 110, Norcross, GA 30093-2242 | 2020-10-27 |
| 1295347516 | Kayton Pharmacy LLC | Pharmacy | 541 Forest Pkwy Ste 4, Forest Park, GA 30297-2147 | 2020-08-18 |
| 1205479771 | Welltree Pharmacy LLC | Pharmacy | 5009 Roswell Rd Ste 210, Atlanta, GA 30342-2205 | 2019-10-28 |
| 1346882735 | Mortar and Pestle, LLC | Pharmacy | 300 Mooty Bridge Rd, Lagrange, GA 30240-1881 | 2019-10-17 |
| 1134685241 | Mgp Rx, LLC | Pharmacy | 1951 Canton Rd Ste 290, Marietta, GA 30066-6300 | 2019-02-13 |
| 1326553090 | West Georgia Home Medical Equipment Co Inc | Pharmacy | 1861 Roanoke Rd Ste A, Lagrange, GA 30240-3850 | 2017-12-04 |
| 1295278166 | Prestige Pharmacy Snellville LLC | Pharmacy | 1551 Janmar Rd, Suite B, Snellville, GA 30078-5606 | 2016-11-28 |
| 1609327089 | Butler Long Term Care Solutions | Pharmacy | 10 B North Poplar St, Butler, GA 31006 | 2016-10-20 |
| 1285180711 | Vn Pharmacy LLC | Pharmacy | 5000 Buford Hwy, Suite A-106, Atlanta, GA 30341-3500 | 2016-08-25 |
| 1871953406 | South Georgia Pharmacy Services Inc | Pharmacy | 720 W Central Ave Ste 1, Moultrie, GA 31768-3560 | 2016-02-24 |
| Find all providers with the same taxonomy | ||||
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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.