HOLLY SPRINGS PHARMACY LLC


Address: 3422 Sixes Rd Ste 302, Canton, GA 30114-9126
Phone: 7702133341

HOLLY SPRINGS PHARMACY LLC (NPI# 1144727199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144727199
Entity Type Organization
Organization Name HOLLY SPRINGS PHARMACY LLC
Other Organization Name PHARMOORE PHARMACY
Practice Address 3422 Sixes Rd Ste 302
Canton
GA 30114-9126
Mailing Address 8612 Main St
Woodstock
GA 30188-4829
Practice Telephone 7702133341
Practice Fax Number 7702133294
Mailing Telephone 6782850760
Mailing Fax Number 7709710315
Enumeration Date 2018-04-06
Last Update Date 2018-04-06
Authorized Official Name JONATHAN MARQUESS (OWNER)
Authorized Official Telephone 7709483133
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 333600000X Pharmacy Suppliers
Y 3336L0003X Pharmacy
Specialization: Long Term Care Pharmacy
PHRE009819 GA Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
GA 003135011A 05
PK 2176500 01

Other Provider/Organization Names

Other Name Type Code
Pharmoore Pharmacy Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1023382314 Holly Springs Pharmacy LLC Pharmacy 3422 Sixes Rd Ste 106, Canton, GA 30114-9120 2012-03-04
1023495272 Holly Springs Pharmacy LLC Pharmacy 648 Holly Springs Rd, Holly Springs, NC 27540-9030 2015-04-27

Office Location

Street Address 3422 SIXES RD STE 302
City CANTON
State GA
Zip Code 30114-9126

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1154803583 Alixandra Nicole Flournoy Physical Therapist 131 Holly Street, Canton, GA 30114 2018-09-01
1588157341 Provident Group - Canton Cove Properties LLC Alzheimer Center (Dementia Center) 1100 Reinhardt College Parkway, Canton, GA 30114 2018-06-07
1003233107 Heartland Dental Care of Georgia Dentist 3237 Sixes Rd, Canton, GA 30114 2014-03-26
1730510959 Joseph Optical Eyewear Supplier (Equipment, not the service) 1455 Riverstone Pkwy Suite 110, Canton, GA 30114 2013-12-13
1629313036 Ramona Morton Rasmussen Occupational Therapist 200 Riverstone Drive, Suite B, Canton, GA 30114 2012-12-11
1902154875 Yong Qiao Luo Acupuncturist 200 Oakside Lane, Suite D, Canton, GA 30114 2012-08-26
1215294350 Christina Lynn Hernandez Pediatrics 1558 Riverstone Pkwy Ste 100, Canton, GA 30114 2012-04-13
1558638981 Stephen E Byrd Counselor 191 Lamar Haley Pkwy., Canton, GA 30114 2011-11-30
1073807855 Sheri Sullins Buckley Nurse Practitioner 120 Oakside Ct Ste H, Canton, GA 30114 2011-06-08
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Taxonomy Information

Taxonomy Code 3336L0003X
Grouping Suppliers
Classification Pharmacy
Specialization Long Term Care Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245732809 Rxpress Ltc LLC Pharmacy 40595 Koppernick Rd Ste 3, Canton, MI 48187-4281 2018-02-28
1952566309 Daw LLC Pharmacy 427 Turnpike St, Canton, MA 02021 2008-07-25
1700086733 The Reliance Group Pharmacy 4902 Dewitt Rd, Suite 104, Canton, MI 48188-2451 2007-07-18
1003436569 Mosbys Drug Store Pharmacy 1301 E Peace St, Canton, MS 39046-4937 2020-04-24
1417507237 Mississippi Discount Drugs LLC Pharmacy 276 Nissan Pkwy Ste 300, Canton, MS 39046-7006 2019-09-13
1851856561 Fulton Pharmacy, Inc. Pharmacy 1657 25th St Nw, Canton, OH 44709-3421 2019-02-06
1003388240 Canton Discount Drugs Ltc Pharmacy 726 E Peace St, Canton, MS 39046-4731 2018-12-28
1669954459 Mississippi Discount Drugs, LLC Pharmacy 195 E Peace St, Canton, MS 39046-4519 2018-08-29
1376659029 Graham Hospital Association Pharmacy 210 W Walnut St, Canton, IL 61520-2444 2006-08-22

Providers in the same taxonomy and state

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
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Competitor

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City CANTON
Zip Code 30114

Improve Information

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Dataset Information

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.

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