GEORGIA CVS PHARMACY LLC (NPI# 1033303961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033303961 |
| Entity Type | Organization |
| Organization Name | GEORGIA CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY #16226 |
| Practice Address |
5950 State Bridge Rd Duluth GA 30097-6438 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 6782581000 |
| Practice Fax Number | 6787133609 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2016-10-12 |
| 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 |
PHRE010211 | GA | Suppliers |
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2016676 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #16226 | 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 |
| 1780878793 | Georgia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 107 Pavilion Pkwy, Fayetteville, GA 30214-4098 | 2007-09-02 |
| Street Address |
5950 STATE BRIDGE RD |
| City | DULUTH |
| State | GA |
| Zip Code | 30097-6438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558797084 | Charles E Robertson II | Pharmacist | 5950 State Bridge Rd, Duluth, GA 30097-6438 | 2013-09-16 |
| 1366707358 | Ashlyn Brooke Carter | Pharmacist | 5950 State Bridge Rd, T-0749, Duluth, GA 30097-6438 | 2012-07-06 |
| 1245517614 | Amy J Pancake | Pharmacist | 5950 State Bridge Rd, T-0749, Duluth, GA 30097-6438 | 2011-11-13 |
| 1730473950 | Lucy Yelka Andia-naylor | Pharmacist | 5950 State Bridge Rd, T-0749, Duluth, GA 30097-6438 | 2011-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659986057 | Herman Medical Solutions, LLC | Internal Medicine | 10700 Medlock Bridge Road, Suite 207, Duluth, GA 30097 | 2020-09-11 |
| 1649808619 | Kirsty Amber Ramirez | Behavior Technician | 218 Premiere Pkwy #500, Duluth, GA 30097 | 2020-03-27 |
| 1386277820 | Cristina Madalina Niculas | Pharmacist | Kroger Pharmacy 476, 6555 Sugarloaf Parkway, Duluth, GA 30097 | 2020-02-12 |
| 1619514924 | Opesdei Health Solutions | Home Health Aide | 6615 Abbotts Bridge Road, 6615 Abbotts Bridge Road Unit 1111, Johns Creek, GA 30097 | 2019-12-05 |
| 1700422979 | Ria Alexander | Nurse Practitioner | 6300 Hospital Parkway Ste 300, Johns Creek, GA 30097 | 2019-11-22 |
| 1043867765 | Mosesal Zakia White | Nurse Practitioner | 10680 Medlock Bridge Rd #102, Johns Creek, GA 30097 | 2019-08-19 |
| 1982187068 | Lighthouse Clinical Counseling, LLC | Counselor | 3883 Rogers Bridge Road, Suite 601, Duluth, GA 30097 | 2018-09-13 |
| 1376025643 | Faithe Beanne Kimsey | Counselor | 3883 Rogers Bridge Road Nw, Suite 601, Duluth, GA 30097 | 2018-09-04 |
| 1306330303 | Denise Jackson | Prosthetist | 11720 Medlock Bridge Rd Ste 155, Johns Creek, GA 30097 | 2018-06-21 |
| 1407363328 | Berkeley Van Dyke | Physical Therapist | 6335 Hospital Pkwy Ste 316, Johns Creek, GA 30097 | 2017-12-30 |
| Find all providers in zip 30097 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013454545 | Genesis Recovery Services, LLC | Pharmacy | 5 N 3rd Ave W Ste 302, Duluth, MN 55802-1614 | 2017-01-23 |
| 1710392790 | Express Pharmacy Inc | Pharmacy | 1630 Pleasant Hill Rd Unit C3, Duluth, GA 30096-5899 | 2014-06-27 |
| 1366883860 | Annapurna Pharmacies, Inc | Pharmacy | 3585 Peachtree Industrial Blvd Ste 168, Duluth, GA 30096-6370 | 2013-07-12 |
| 1891063780 | Walgreens | Pharmacy | 3100 Bugle Dr, Duluth, GA 30096-3526 | 2011-12-06 |
| 1912121187 | Sung Hyun Inc | Pharmacy | 3230 Steve Reynolds Blvd Ste 114, Duluth, GA 30096-8833 | 2007-04-12 |
| 1851403794 | Decatur Apothecary | Pharmacy | 3055 Saint Andrews Dr, Duluth, GA 30096-3584 | 2006-08-31 |
| 1356380364 | Publix Super Markets Inc | Pharmacy | 3870 Peachtree Industrial Blvd, Duluth, GA 30096-1422 | 2006-06-05 |
| 1083690911 | Hyungwon Kang | Pharmacy | 2550 Pleasant Hill Rd # Build100, Ste 126, Duluth, GA 30096-4122 | 2005-12-22 |
| 1114901550 | Falks Woodland Pharmacy Inc | Pharmacy | 5300 Bristol St, Duluth, MN 55807-2903 | 2005-11-30 |
| 1780668137 | Falks Woodland Pharmacy Inc | Pharmacy | 1352 W Arrowhead Rd, Duluth, MN 55811-2218 | 2005-11-30 |
| Find all providers in DULUTH | ||||
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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.