GEORGIA CVS PHARMACY LLC (NPI# 1528302403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528302403 |
| Entity Type | Organization |
| Organization Name | GEORGIA CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY #07689 |
| Practice Address |
1520 Avenue Pl Suite B-100 Atlanta GA 30329-4015 |
| Mailing Address |
One Cvs Drive Woonsocket RI 02895-6146 |
| Practice Telephone | 4046395575 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2012-11-16 |
| Last Update Date | 2014-03-18 |
| 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 | 332B00000X | Durable Medical Equipment & Medical Supplies | GA | Suppliers | |
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
GA | Suppliers | |
| Y | 333600000X | Pharmacy | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003131316A | 05 | |
| GA | NCPDP | 1163017 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY #07689 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548504343 | Georgia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 441 Fair Rd, Statesboro, GA 30458-4913 | 2012-11-16 |
| 1710232913 | Georgia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 5900 Watson Blvd, Warner Robins, GA 31093-8669 | 2012-07-13 |
| 1811256605 | Georgia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3674 Highway 5, Douglasville, GA 30135-2364 | 2012-05-14 |
| 1447528039 | Georgia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1680 Old Pendergrass Rd, Jefferson, GA 30549-2701 | 2011-12-09 |
| 1437458593 | Georgia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3595 Atlanta Hwy, Athens, GA 30606-3152 | 2011-03-15 |
| 1174771521 | Georgia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 5570 Roswell Rd, Sandy Springs, GA 30342-1861 | 2008-08-28 |
| 1083875173 | Georgia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 13055 Highway 9 N, Milton, GA 30004-5137 | 2008-06-20 |
| 1881870806 | Georgia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 5865 Spout Springs Rd, Flowery Branch, GA 30542-3448 | 2008-01-22 |
| 1033303961 | Georgia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 5950 State Bridge Rd, Duluth, GA 30097-6438 | 2007-09-04 |
| 1780878793 | Georgia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 107 Pavilion Pkwy, Fayetteville, GA 30214-4098 | 2007-09-02 |
| Street Address |
1520 AVENUE PL SUITE B-100 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30329-4015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639789977 | Payal Shah | Nurse Practitioner | 1520 Avenue Pl, Atlanta, GA 30329-4015 | 2020-08-02 |
| 1295369957 | Varsha Vera Whitmore | Nurse Practitioner | 1520 Avenue Pl, Atlanta, GA 30329-4015 | 2020-03-02 |
| 1548760572 | Evelyn Kay Larson | Nurse Practitioner | 1520 Avenue Pl, Atlanta, GA 30329-4015 | 2018-02-16 |
| 1538607262 | Joshua Rayford | Nurse Practitioner | 1520 Avenue Pl, Atlanta, GA 30329-4015 | 2017-02-01 |
| 1316312796 | Tamika Johnson | Nurse Practitioner | 1520 Avenue Pl, Atlanta, GA 30329-4015 | 2015-12-10 |
| 1144648528 | Selena Howard | Registered Nurse | 1520 Avenue Pl, Atlanta, GA 30329-4015 | 2014-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871084111 | Inner Peace Counseling Services,llc | Counselor | 2801 Bufford Highway, Suite T-10, Atlanta, GA 30329 | 2018-05-22 |
| 1912409392 | Joie De Vivre Counseling and Therapy | Counselor | 2801 Buford Highway, Ne, Atlanta, GA 30329 | 2018-03-01 |
| 1902329105 | Barbara Dunbar | Psychologist | 1777 Northeast Expressway, #175, Atlanta, GA 30329 | 2017-07-19 |
| 1114449048 | Cricket Cheyenne Gullickson | Student in an Organized Health Care Education/Training Program | 1371 Briarvista Way Ne, Atlanta, GA 30329 | 2017-07-12 |
| 1902357866 | Carla Zimmerly | Nurse Practitioner | 1711 Tullie Circle, Atlanta, GA 30329 | 2016-10-17 |
| 1316490808 | Shahzad Ghori | Student in an Organized Health Care Education/Training Program | 1727 Druid Oaks Ne, Atlanta, GA 30329 | 2016-08-01 |
| 1023467768 | Ashley Elliott | Physician Assistant | 59 Executive Park, Atlanta, GA 30329 | 2016-06-03 |
| 1285096115 | Kimberley Fox | Internal Medicine | 1600 Clifton Rd Ne, Ms A-04, Cdc, Atlanta, GA 30329 | 2016-03-21 |
| 1275991648 | Mary Patricia Joyce | Internal Medicine | 1600 Clifton Road, E-47, Centers for Disease Control and Prevention, Atlanta, GA 30329 | 2016-02-01 |
| 1346656618 | Amelia Muniz Hernandez | Pediatrics | 1841 Clifton Rd Ne # 508, Atlanta, GA 30329 | 2014-07-08 |
| Find all providers in zip 30329 | ||||
| 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 |
|---|---|---|---|---|
| 1295373702 | Downtown Pharmacy LLC | Pharmacy | 236 Forsyth St Sw Ste 202b, Atlanta, GA 30303-3786 | 2019-12-16 |
| 1467003467 | Selamawit Dejene | Pharmacy | 464 Bishop St Nw Apt 336, Atlanta, GA 30318-5384 | 2019-09-23 |
| 1194216697 | 874 Total Pharmacy LLC | Pharmacy | 874 Ralph David Abernathy Blvd Sw, Atlanta, GA 30310-1829 | 2018-05-21 |
| 1144721531 | Ben Hill Pharmacy Inc. | Pharmacy | 3740 Campbellton Rd Sw, Atlanta, GA 30331-5222 | 2018-02-22 |
| 1487199972 | Cardinal Health 132, LLC | Pharmacy | 424 Decatur Street Ne, Suite 100, Atlanta, GA 30303 | 2016-12-20 |
| 1366991283 | Aids Healthcare Foundation | Pharmacy | 1858 Cheshire Bridge Rd Ne, Atlanta, GA 30324-4945 | 2016-10-04 |
| 1730637562 | Headland Pharmacy LLC | Pharmacy | 2973 Headland Dr Sw, Suite B, Atlanta, GA 30311-5434 | 2016-09-21 |
| 1336543461 | Publix Super Markets Inc | Pharmacy | 2020 Howell Mill Rd Nw Ste A, Atlanta, GA 30318-1732 | 2014-10-17 |
| 1558772400 | Robinson Family Pharmacy LLC | Pharmacy | 213 N Pinecrest Dr, Atlanta, TX 75551-3130 | 2014-05-14 |
| 1811321763 | Kaiser Foundation Health Plan of Georgia, Inc. | Pharmacy | 1100 Lake Hearn Dr Ste 500, Atlanta, GA 30342-1548 | 2013-08-28 |
| Find all providers in ATLANTA | ||||
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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.