SUMMERVILLE PHARMACY (NPI# 1114012119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114012119 |
| Entity Type | Organization |
| Organization Name | SUMMERVILLE PHARMACY |
| Other Organization Name | PHARMASERV INC. |
| Practice Address |
3087 Westwood Rd Hani Mussad Augusta GA 30909 |
| Mailing Address |
2258 Wrightsboro Rd Suite 150 Augusta GA 30904 |
| Practice Telephone | 7067362093 |
| Practice Fax Number | 7067337301 |
| Mailing Telephone | 7064817140 |
| Mailing Fax Number | 7067337301 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | HANI WILLIAM MUSSAD (OWNER/ PHARMACIST) |
| Authorized Official Telephone | 7064817140 |
| Authorized Official Credential | BS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | RPH.004193 | GA | Suppliers |
| Other Name | Type Code |
|---|---|
| PHARMASERV INC. | Other Name - Individual/Organization |
| Street Address |
3087 WESTWOOD RD HANI MUSSAD |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912513888 | Lauran Simpson | Behavior Technician | 1237 Augusta West Parkway, Augusta, GA 30909 | 2020-09-16 |
| 1487273884 | Still Perspectives Counseling LLC | Counselor | 1265 Inerstate Prwy, Suite B, Augusta, GA 30909 | 2020-04-15 |
| 1598397838 | Mjra Medical LLC | Psychologist | 3675 J Dewey Gray Cr Ste 300, Augusta, GA 30909 | 2020-02-05 |
| 1003452319 | Danny Robinson | Counselor | 2609 Commons Boulevard, Augusta, GA 30909 | 2019-11-21 |
| 1407498637 | Candice M Cruse | Social Worker | 2609 Commons Blvd, Augusta, GA 30909 | 2019-10-09 |
| 1902363385 | Mary D Jodon | Pharmacist | 3338 Wrightsboro Rd., Augusta, GA 30909 | 2019-02-21 |
| 1447790514 | Burn Critical Care Associates, LLC | Internal Medicine | 3614 J. Dewey Gray Circle, Bldg B., Augusta, GA 30909 | 2017-03-08 |
| 1124561766 | Sasha Latara Mccraw | Counselor | 7303 Palomino Court, Augusta, GA 30909 | 2016-11-30 |
| 1174974620 | Warren Umansky, Ph.d. | Psychologist | 302 Wheeler Executive Ctr, Augusta, GA 30909 | 2016-06-27 |
| 1811358955 | Theodora Mcleskey | Nurse Practitioner | 1215 George C. Wilson Drive, Augusta, GA 30909 | 2016-03-17 |
| Find all providers in zip 30909 | ||||
| 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 |
|---|---|---|---|---|
| 1487901476 | Au Medical Center, Inc. | Pharmacy | 1120 15th St # Bt1964, Augusta, GA 30912-0004 | 2012-08-08 |
| 1285924431 | T&j Enterprise LLC | Pharmacy | 1630 Ohio St, Augusta, KS 67010-2142 | 2011-04-08 |
| 1992800908 | Asklers Augusta Pharmacy N More Inc | Pharmacy | 108 South Webster, Augusta, MI 49012 | 2006-09-14 |
| 1861504706 | Maxwell House Pharmacy LLC | Pharmacy | 1002 Greene St, Augusta, GA 30901-2251 | 2006-08-31 |
| 1376558916 | Terese Inc | Pharmacy | 2529 Peach Orchard Rd, Augusta, GA 30906-2412 | 2006-07-30 |
| 1841222874 | Freds Stores of Tennessee Inc | Pharmacy | 1302 Highway 64 E, Augusta, AR 72006-9411 | 2006-07-07 |
| 1497791305 | Summerville Pharmacy Inc | Pharmacy | 2839 Central Ave, Augusta, GA 30909-3904 | 2006-06-20 |
| 1316987738 | Publix Super Markets Inc | Pharmacy | 2816 Washington Rd, Augusta, GA 30909-2199 | 2006-06-07 |
| 1881227601 | Janus Rx LLC | Pharmacy | 1721 Wrightsboro Rd, Augusta, GA 30904-4074 | 2020-02-20 |
| 1942799309 | Lewis County Primary Care Center Inc | Pharmacy | 1551 Augusta Chatham Rd, Augusta, KY 41002-9224 | 2018-05-01 |
| Find all providers in AUGUSTA | ||||
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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.