BENZER PHARMACY GA1 LLC (NPI# 1033598198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033598198 |
Entity Type | Organization |
Organization Name | BENZER PHARMACY GA1 LLC |
Other Organization Name | THE PHARMACY AT LAKE OCONEE |
Practice Address |
1031 Village Park Dr Ste 104 Greensboro GA 30642-3755 |
Practice Telephone | 7069999792 |
Practice Fax Number | 7069999795 |
Mailing Telephone | 7069999792 |
Mailing Fax Number | 7069999795 |
Enumeration Date | 2015-05-22 |
Last Update Date | 2018-07-19 |
Authorized Official Name | ROBERT STINSON (OWNER) |
Authorized Official Telephone | 6785213820 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 333600000X | Pharmacy | Suppliers | ||
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHRE010342 | GA | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PK | 2165802 | 01 |
Other Name | Type Code |
---|---|
The Pharmacy at Lake Oconee | Doing Business As Name - Organization |
Street Address |
1031 VILLAGE PARK DR STE 104 |
City | GREENSBORO |
State | GA |
Zip Code | 30642-3755 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821575176 | Donald Matson Keiser IIi | Pharmacist | 6380 Lake Oconee Parkway, Greensboro, GA 30642 | 2018-07-19 |
1427575844 | Kathleen Mcgrady | Psychologist | 1121 Careywood St, Greensboro, GA 30642 | 2017-08-25 |
1851733281 | April Jackson Powell | Physical Therapist | 1000 Cowles Clinc Way Ste D-100, Greensboro, GA 30642 | 2013-07-26 |
1003046673 | Apalachee Medical Supply & Mobility Inc | Durable Medical Equipment & Medical Supplies | 1000 Cowles Clinic Way, Aspen Building A-200, Greensboro, GA 30642 | 2009-07-17 |
1487808754 | Wendy C Pearson | Nurse Practitioner | 1000 Cowles Clinc Way Ste 300, Greensboro, GA 30642 | 2008-11-12 |
1144481516 | Kingdom Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1020 Park Drive, Suite B, Greensboro, GA 30642 | 2008-06-18 |
1538369343 | Jerry Allen Spivey Jr. | Anesthesiology | 1030 Founders Row, Greensboro, GA 30642 | 2007-07-19 |
1578766309 | Richard Norman Lee | Dentist | 1041 Parkside Commons, Suite 104, Greensboro, GA 30642 | 2007-06-08 |
1609085950 | Lott Cuffie Southwest Properties | Dentist | 1050 Parkside Commons, Suite 103, Greensboro, GA 30642 | 2007-05-22 |
1649320490 | Greene County Nursing Center LLC | Skilled Nursing Facility | 1211 Siloam Road, Greensboro, GA 30642 | 2007-01-12 |
Find all providers in zip 30642 |
Taxonomy Code | 3336C0003X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Community/Retail Pharmacy |
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
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 |
---|---|---|---|---|
1790269165 | Pioneer Apco LLC | Pharmacy | 1100 Revolution Mill Dr Ste 10, Greensboro, NC 27405-5067 | 2018-09-20 |
1629502109 | Cvs Pharmacy | Pharmacy | 1606 Fox Hollow Rd, Greensboro, NC 27410-3704 | 2017-04-12 |
1346679412 | Friendly Pharmacy | Pharmacy | 3712 Lawndale Dr Ste G, Greensboro, NC 27455-3066 | 2013-11-08 |
1538496179 | Piedmont Drug & Home Delivery, L.L.C. | Pharmacy | 4620 Woody Mill Rd, Suite B, Greensboro, NC 27406-8779 | 2009-11-03 |
1205997343 | Health Care Services Inc | Pharmacy | 2021 Martin Luther King Jr Dr, Greensboro, NC 27406-3314 | 2006-12-13 |
1124102645 | North Carolina Cvs Pharmacy LLC | Pharmacy | 1628 Highwoods Blvd, Greensboro, NC 27410-2048 | 2006-10-24 |
1962506543 | Harris Teeter, Inc. | Pharmacy | 3357 Battleground Ave., Greensboro, NC 27410 | 2006-09-12 |
1720181407 | North Carolina Cvs Pharmacy LLC | Pharmacy | 1903 W Florida St, Greensboro, NC 27403-3362 | 2006-09-07 |
1336242106 | North Carolina Cvs Pharmacy LLC | Pharmacy | 309 E Cornwallis Dr, Greensboro, NC 27408-5103 | 2006-09-07 |
1528161023 | North Carolina Cvs Pharmacy LLC | Pharmacy | 1615 Spring Garden St, Greensboro, NC 27403-2334 | 2006-09-07 |
Find all providers in GREENSBORO |
City | GREENSBORO |
Zip Code | 30642 |
Please comment or provide details below to improve the information on BENZER PHARMACY GA1 LLC.
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.