WEST COBB SPECIALTY PHARMACY (NPI# 1184284010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184284010 |
| Entity Type | Organization |
| Organization Name | WEST COBB SPECIALTY PHARMACY |
| Practice Address |
1700 Hospital South Dr Austell GA 30106-6810 |
| Mailing Address |
7715 Oldbury Pl Cumming GA 30040-5933 |
| Practice Telephone | 6305502636 |
| Mailing Telephone | 6305502636 |
| Enumeration Date | 2019-06-13 |
| Last Update Date | 2019-06-13 |
| Authorized Official Name | JITENDRA CHAUDHARI (OWNER) |
| Authorized Official Telephone | 6305502636 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | Suppliers |
| Street Address |
1700 HOSPITAL SOUTH DR |
| City | AUSTELL |
| State | GA |
| Zip Code | 30106-6810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215922299 | Michael Hardee | Internal Medicine | 1700 Hospital South Dr, Suite 409, Austell, GA 30106-6810 | 2005-09-15 |
| 1972017374 | Nicole Dubois Witt | Nurse Practitioner | 1700 Hospital South Dr, Austell, GA 30106-6810 | 2017-11-21 |
| 1861843815 | Kendra Chavis | Physician Assistant | 1700 Hospital South Dr, Suite #200, Austell, GA 30106-6810 | 2016-06-30 |
| 1285027649 | Karen Monica Sumner | Nurse Practitioner | 1700 Hospital South Dr, Suite 300, Austell, GA 30106-6810 | 2015-03-10 |
| 1962894576 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 1700 Hospital South Dr, Suite 406, Austell, GA 30106-6810 | 2015-02-19 |
| 1790183499 | Yasmeen Girardeau | Nurse Practitioner | 1700 Hospital South Dr, Austell, GA 30106-6810 | 2014-12-11 |
| 1457766875 | Robin Christine Gohacki | Nurse Practitioner | 1700 Hospital South Dr, Suite 202, Austell, GA 30106-6810 | 2014-06-24 |
| 1053740340 | Emily A Goolsby | Advanced Practice Midwife | 1700 Hospital South Dr, Suite 500, Austell, GA 30106 | 2013-11-06 |
| 1487081105 | Michelle Lewis-austin | Nurse Practitioner | 1700 Hospital South Dr, Suite 502, Austell, GA 30106-6810 | 2013-09-27 |
| 1871939405 | Wellstar Medical Group, LLC | Obstetrics & Gynecology | 1700 Hospital South Dr, Suite 102, Austell, GA 30106-6810 | 2013-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073126231 | Courtney Lashune Dorsett | Nurse Practitioner | 1005 Cureton Drive, Austell, Austell, GA 30106 | 2020-08-27 |
| 1184240491 | Brian H Eves | Dietitian, Registered | 3972 Brantley Drive, Austell, GA 30106 | 2020-06-23 |
| 1669014486 | Jesse Mccoy | Registered Nurse | 3950 Austell Rd., Austell, GA 30106 | 2019-10-14 |
| 1427522820 | Envision Optics LLC | Optometrist | 1680 E West Connector, Austell, GA 30106 | 2019-01-18 |
| 1972042380 | Thomas Dental Group | Clinic/Center | 1133 East West Connector, Suite 120, Austell, GA 30106 | 2017-02-17 |
| 1245779792 | Colton Dental Group | Clinic/Center | 2495 East-west Connector, Ste 60, Austell, GA 30106 | 2017-02-16 |
| 1144691684 | Georgia Dental Professionals, PC | Dentist | 780 East West Connector Sw, Suite 108, Austell, GA 30106 | 2015-10-09 |
| 1285013714 | Ikeade Bello Alamu | Nurse Practitioner | 2870 Betula Drive, Austell, GA 30106 | 2015-05-29 |
| 1376922211 | Jessica Williams | Obstetrics & Gynecology | 1700 Hospital South Dr Ste 500, Austell, GA 30106 | 2015-05-26 |
| 1558799593 | Tonya Renee Baldwin | Speech-Language Pathologist | 4229 Brass Trl., Austell, GA 30106 | 2013-10-30 |
| Find all providers in zip 30106 | ||||
| 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 |
|---|---|---|---|---|
| 1134140189 | Wf Thomas Drugs Inc | Pharmacy | 2704 Jefferson St, Austell, GA 30168-4014 | 2006-07-22 |
| 1568401917 | Bjs Wholesale Club Inc | Pharmacy | 2435 E West Connector, Austell, GA 30106-8196 | 2006-06-04 |
| 1386943009 | Kennestone Hospital, Inc | Pharmacy | 3950 Austell Rd, Suite 8, Austell, GA 30106-1121 | 2011-03-21 |
| 1396876793 | Presbyterian Village Austell Inc | Pharmacy | 2000 E West Connector, Attn: Pharmacy, Austell, GA 30106-1194 | 2007-03-08 |
| 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 |
| 1942844741 | Genoa Healthcare, LLC | Pharmacy | 400 Technology Ct Se Ste J, Room P, Smyrna, GA 30082-5237 | 2019-11-05 |
| 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 |
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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.