GRADY MEMORIAL HOSPITAL CORPORATION (NPI# 1174538722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174538722 |
| Entity Type | Organization |
| Organization Name | GRADY MEMORIAL HOSPITAL CORPORATION |
| Other Organization Name | EAST POINT GRADY HEALTH CENTER PHARMACY |
| Practice Address |
1595 Cleveland Ave East Point GA 30344-3200 |
| Mailing Address |
Pharmacy Administration-26041 80 Jesse Hill Jr Drive Atlanta GA 30303 |
| Practice Telephone | 4046169231 |
| Practice Fax Number | 4047686455 |
| Mailing Telephone | 4046163576 |
| Mailing Fax Number | 4046166070 |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2016-02-10 |
| Authorized Official Name | VAL HALLMAN (DIRECTOR OF PHARMACY ADMINISTRATION) |
| Authorized Official Telephone | 4046163576 |
| 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 |
004658 | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2131149 | 01 | |
| GA | 937307I | 05 |
| Other Name | Type Code |
|---|---|
| East Point Grady Health Center Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124598362 | Grady Memorial Hospital Corporation | Pharmacy | 80 Jesse Hill Jr Dr Se Rm 10b-043, Atlanta, GA 30303-3031 | 2018-11-30 |
| 1396025367 | Grady Memorial Hospital Corporation | Pharmacy | 80 Jesse Hill Jr Dr Se Rm Gf, Atlanta, GA 30303-3031 | 2011-08-23 |
| 1427373224 | Grady Memorial Hospital Corporation | Pharmacy | 1575 Northside Dr Nw Bldg 400, Atlanta Tech Center Suite 450, Atlanta, GA 30318-4235 | 2010-04-05 |
| 1891966578 | Grady Memorial Hospital Corporation | Ambulance | 80 Jesse Hill Jr Drive Se, Box 26042, Atlanta, GA 30303-3050 | 2008-03-20 |
| 1437255395 | Grady Memorial Hospital Corporation | Skilled Nursing Facility | 2800 Springdale Rd Sw, Atlanta, GA 30315-7802 | 2006-09-16 |
| 1083629638 | Grady Memorial Hospital Corporation | Pharmacy | 341 Ponce De Leon Ave Ne Rm 110, Atlanta, GA 30308-2012 | 2006-07-30 |
| 1205872223 | Grady Memorial Hospital Corporation | Pharmacy | 48-50 Coca Cola Place, Atlanta, GA 30303-3050 | 2006-06-20 |
| 1992799050 | Grady Memorial Hospital Corporation | Ambulance | 80 Jesse Hill Jr Dr, Se, Atlanta, GA 30303-3050 | 2005-09-06 |
| 1649765686 | Grady Memorial Hospital Corporation | Clinic/Center | 3896 Princeton Lakes Way, Atlanta, GA 30331 | 2018-06-22 |
| 1316294713 | Grady Memorial Hospital Corporation | Pharmacy | 10 Park Place, Atlanta, GA 30303 | 2012-08-06 |
| Street Address |
1595 CLEVELAND AVE |
| City | EAST POINT |
| State | GA |
| Zip Code | 30344-3200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386644961 | Manjushree Ghose | Family Medicine | 1595 Cleveland Ave, East Point, GA 30344-3200 | 2005-07-26 |
| 1083259683 | Amanda Elizabeth Mccloskey | Dietitian, Registered | 1595 Cleveland Ave, East Point, GA 30344-3200 | 2019-11-07 |
| 1861974479 | Rachel Leah Taft | Dietitian, Registered | 1595 Cleveland Ave, East Point, GA 30344-3200 | 2018-08-30 |
| 1447766852 | Carli Barbo | Dietitian, Registered | 1595 Cleveland Ave, East Point, GA 30344-3200 | 2017-12-20 |
| 1790128486 | Ashley Mccann | Family Medicine | 1595 Cleveland Ave, East Point, GA 30344-3200 | 2013-04-11 |
| 1760430003 | Lawrence Donald Powell | Family Medicine | 1595 Cleveland Ave, East Point, GA 30344-3200 | 2006-05-05 |
| 1720059462 | Ayanna V Buckner | Preventive Medicine | 1595 Cleveland Ave, East Point, GA 30344-3200 | 2006-01-31 |
| 1700866902 | Daniel Sender Blumenthal | Pediatrics | 1595 Cleveland Ave, East Point, GA 30344-3200 | 2006-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306468053 | Comfortlink Healthcare, LLC | Home Health | 2691 Harris Street, Eastpoint, GA 30344 | 2020-05-15 |
| 1881159028 | Brandon Norris Spires | Specialist/Technologist | 6000 S Terminal Pkwy, Atlanta, GA 30344 | 2019-02-01 |
| 1568983435 | Rhonda Charlette Bussey | Social Worker | 3173 Delowe Dr, East Point, GA 30344 | 2017-06-30 |
| 1801324603 | Megan Marie Timpone | Physician Assistant | 1135 Cleveland Ave Ste 513, Atlanta, GA 30344 | 2017-05-24 |
| 1861837577 | Propsych Behavioral Health Care Services LLC | Community/Behavioral Health | 1847 Washington Road, East Point, GA 30344 | 2013-05-08 |
| 1932459096 | Kimberly Ann Bogard | Counselor | 4373 Sun Valley Blvd Rm A, East Point, GA 30344 | 2012-09-17 |
| 1376815621 | Love Angels | Home Health | 307 Crest Ridge Dr., East Point, GA 30344 | 2012-02-02 |
| 1861701054 | John Allen Reed IIi | Physical Therapist | 1657 Dorsey Ave., East Point, GA 30344 | 2010-10-05 |
| 1437482783 | Winston Daniels | Home Health Aide | 5100 High Point Rd Ste.36, Union City, GA 30344 | 2009-09-17 |
| 1649405572 | Kenyotta Hannah | Counselor | 1514 Cleveland Avenue, East Point, GA 30344 | 2009-05-21 |
| Find all providers in zip 30344 | ||||
| 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 |
|---|---|---|---|---|
| 1699917518 | Trans Alliance Lab Inc | Pharmacy | 2020 Headland Dr, East Point, GA 30344-2135 | 2009-03-25 |
| 1518049279 | Cimircau Inc Dba Washington Road Pharmacy | Pharmacy | 3518 Washington Rd, East Point, GA 30344-5844 | 2006-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154922441 | Southern Pharmacy Group LLC | Pharmacy | 110 Allison St., Jesup, GA 31545 | 2020-11-04 |
| 1184225526 | Svdp Georgia Community Pharmacy LLC | Pharmacy | 2050 Chamblee Tucker Rd Ste C, Chamblee, GA 30341-3343 | 2020-11-03 |
| 1194325860 | Panola Pharmacy LLC | Pharmacy | 2348 Panola Rd Unit C, Lithonia, GA 30058-5406 | 2020-10-30 |
| 1659971539 | Bob and Jeff's Hometown Pharmacy of Thomasville, LLC | Pharmacy | 309 Smith Ave, Thomasville, GA 31792-5534 | 2020-10-29 |
| 1679171979 | Dfg LLC | Pharmacy | 638 Historic Hwy 441 Suite A, Demorest, GA 30530 | 2020-10-09 |
| 1033716915 | Au Medical Center, Inc. | Pharmacy | 818 Saint Sebastian Way Ste 402, Augusta, GA 30901-2654 | 2020-10-05 |
| 1043817208 | Mlk Pharmacy2.0 | Pharmacy | 2457 Mlk Jr Dr Sw Ste A, Atlanta, GA 30311-1712 | 2020-10-01 |
| 1508470964 | Swain Drug Company LLC | Pharmacy | 855 Bowens Mill Rd Sw Suite E, Douglas, GA 31533 | 2020-09-03 |
| 1205446341 | Sunny Pharmacy | Pharmacy | 5364 Jonesboro Rd, Lake City, GA 30260-3557 | 2020-08-04 |
| 1841818044 | Hospital Authority of Miller County | Pharmacy | 213 Delores Street, Colquitt, GA 39837 | 2020-07-14 |
| Find all providers with the same taxonomy | ||||
| City | EAST POINT |
| Zip Code | 30344 |
Please comment or provide details below to improve the information on GRADY MEMORIAL HOSPITAL CORPORATION.
| 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.