GEORGIA CVS PHARMACY, L.L.C. (NPI# 1164526091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164526091 |
| Entity Type | Organization |
| Organization Name | GEORGIA CVS PHARMACY, L.L.C. |
| Other Organization Name | CVS PHARMACY #02146 |
| Practice Address |
4345 S Cobb Dr Se Smyrna GA 30080-6331 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 7704385042 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2011-10-21 |
| Authorized Official Name | SUSAN COLBERT (DIRECTOR, PAYER RELATIONS) |
| Authorized Official Telephone | 4017702751 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | GA | Suppliers | |
| Y | 333600000X | Pharmacy | 008115 | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 1143926 | 01 | |
| GA | 000745676A | 05 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY #02146 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699095869 | Georgia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1800 Brunswick Hwy, Waycross, GA 31501-1061 | 2010-06-10 |
| 1245550417 | Georgia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 680 Ponce De Leon Ave., Atlanta, GA 30308-1808 | 2010-06-10 |
| 1861711947 | Georgia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 5101 Washington Rd, Evans, GA 30809-6445 | 2010-05-27 |
| 1427388453 | Georgia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 965 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2130 | 2010-01-14 |
| 1518296318 | Georgia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1162 West Ave., Cartersville, GA 30120-6138 | 2009-12-08 |
| 1689807018 | Georgia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 7355 Roswell Rd Ne, Sandy Springs, GA 30328-1044 | 2009-09-02 |
| 1801022918 | Georgia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 795 Oglethorpe Ave., Athens, GA 30606-2242 | 2009-06-03 |
| 1912131335 | Georgia Cvs Pharmacy, L.L.C. | Pharmacy | 5384 Highway 20 S, Covington, GA 30016-4403 | 2009-05-13 |
| 1568605400 | Georgia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 3221 Peachtree Road Ne, Atlanta, GA 30305-2414 | 2009-04-08 |
| 1508004169 | Georgia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1905 Martha Berry Blvd., Rome, GA 30165-1649 | 2009-02-04 |
| Street Address |
4345 S COBB DR SE |
| City | SMYRNA |
| State | GA |
| Zip Code | 30080-6331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881205169 | Suny Varughese | Nurse Practitioner | Minute Clinic, 2994 Atlanta Rd, Se, Smyrna, GA 30080 | 2020-08-11 |
| 1891287645 | Provident Group - Creekside Properties LLC | Alzheimer Center (Dementia Center) | 4838 South Cobb Drive, Smyrna, GA 30080 | 2018-06-06 |
| 1710490743 | Alina Rim | Registered Nurse | 4532 Chelton Ct Se, Smyrna, GA 30080 | 2017-11-13 |
| 1932626488 | Richard Kyle Davis | Pharmacist | 2955 Atlanta Rd Se, Smyrna, GA 30080 | 2017-08-25 |
| 1982071163 | Amelia Rafaela Turrubiates-huacuja | Counselor | 1246-c Concord Rd, Suite 101, Smyrna, GA 30080 | 2015-08-24 |
| 1275919755 | Anne Waldner Rohling | Physical Therapist | 1155 Concord Rd Se Ste 210, Smyrna, GA 30080 | 2015-08-06 |
| 1790167856 | Kay Yetunde Johnson | Nurse Practitioner | 3001 Lusk Dr, Smyrna, GA 30080 | 2015-06-25 |
| 1689055436 | Anew You Couneling, LLC | Community/Behavioral Health | 3188 Atlanta Rd, Smyrna, GA 30080 | 2015-06-17 |
| 1457766370 | Trondi Jerry | Counselor | 3381 Atlanta Rd Se, Smyrna, GA 30080 | 2014-06-30 |
| 1093081903 | Ashish Kapila | Podiatrist | Wellstar Podiatry, 4441 Atlanta Rd Se Suite 215, Smyrna, GA 30080 | 2012-03-25 |
| Find all providers in zip 30080 | ||||
| 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 |
|---|---|---|---|---|
| 1942844741 | Genoa Healthcare, LLC | Pharmacy | 400 Technology Ct Se Ste J, Room P, Smyrna, GA 30082-5237 | 2019-11-05 |
| 1235658030 | Cobb Hospital Inc | Pharmacy | 4441 Atlanta Rd Se Ste 113, Smyrna, GA 30080-6537 | 2017-09-12 |
| 1336408962 | Community Pharmacy LLC | Pharmacy | 1933 Almaville Rd, Smyrna, TN 37167-6290 | 2012-05-16 |
| 1609065283 | Atlantic Apothecary, Inc | Pharmacy | 103 S Dupont Blvd Ste 2, Smyrna, DE 19977-1549 | 2007-10-18 |
| 1285659904 | Kroger Limited Partnership I | Pharmacy | 463 Sam Ridley Pkwy W, Smyrna, TN 37167-5626 | 2006-07-13 |
| 1619901345 | Kroger Limited Partnership I | Pharmacy | 567 S Lowry St, Smyrna, TN 37167-3803 | 2006-07-10 |
| 1053355362 | Smyrna Drug Lp | Pharmacy | 269 S Lowry St, Smyrna, TN 37167-3007 | 2006-06-16 |
| 1144576836 | Community Pharmacy of Smyrna LLC | Pharmacy | 300 Stonecrest Blvd, Ste 130, Smyrna, TN 37167-5688 | 2012-07-31 |
| 1861423865 | K Mart Corp | Pharmacy | 333 N Lowry St, Smyrna, TN 37167-2550 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607662 | H & W Pharmacy | Pharmacy | 4091 Redan Rd Ste C, Stone Mountain, GA 30083-4767 | 2020-10-23 |
| 1720603756 | Medical-pharmacy Associates of Georgia, LLC | Pharmacy | 1425 Georgia Ave Ste 1, Macon, GA 31201-6546 | 2020-06-16 |
| 1700419454 | Janus Rx | Pharmacy | 836 E 65th St Ste 42, Savannah, GA 31405-4496 | 2020-02-20 |
| 1295373702 | Downtown Pharmacy LLC | Pharmacy | 236 Forsyth St Sw Ste 202b, Atlanta, GA 30303-3786 | 2019-12-16 |
| 1750928719 | Goodscript, Inc. | Pharmacy | 3115 Roswell Rd Ste 205, Marietta, GA 30062-7611 | 2019-12-09 |
| 1225670995 | Allcare Pharmacy, LLC | Pharmacy | 1004 S Tennille Ave, Donalsonville, GA 39845 | 2019-10-14 |
| 1417598327 | Connect Care Pharmacy, LLC | Pharmacy | 2191 Hwy 247 Connector, Byron, GA 31008-5531 | 2019-10-02 |
| 1467003467 | Selamawit Dejene | Pharmacy | 464 Bishop St Nw Apt 336, Atlanta, GA 30318-5384 | 2019-09-23 |
| 1902454721 | Batts Drug Company Mansfield, LLC | Pharmacy | 4424 Highway 213, Mansfield, GA 30055-3211 | 2019-08-27 |
| 1619524865 | Clark Drug Company, LLC. | Pharmacy | 206 W 6th Street, Waynesboro, GA 30830 | 2019-08-22 |
| 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.