TMC VILLA RICA HOSPITAL, INC


Address: 157 Clinic Ave Ste 202, Room 219, Carrollton, GA 30117-4454
Phone: 7708121919

TMC VILLA RICA HOSPITAL, INC (NPI# 1679195606) 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) 1679195606
Entity Type Organization
Organization Name TMC VILLA RICA HOSPITAL, INC
Other Organization Name NW GA ONCOLOGY CTR RETAIL PHARMACY - TMC/VILLA RICA
Practice Address 157 Clinic Ave Ste 202, Room 219
Carrollton
GA 30117-4454
Mailing Address 100 Professional Pl Ste 305
Carrollton
GA 30117-3872
Practice Telephone 7708121919
Mailing Telephone 7708128614
Mailing Fax Number 7708128372
Enumeration Date 2020-05-13
Last Update Date 2020-09-08
Authorized Official Name CAROL S. CREWS (CFO)
Authorized Official Telephone 7708129745
Authorized Official Credential CFO
Is Organization Subpart Y
Parent Organization Name TMC VILLA RICA HOSPITAL, INC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 3336S0011X Pharmacy
Specialization: Specialty Pharmacy
Suppliers
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
HEALTH INDUSTRY NUMBER 5KYKWKNF2 01

Other Provider/Organization Names

Other Name Type Code
NW Ga Oncology Ctr Retail Pharmacy - TMC/Villa Rica Doing Business As Name - Organization

Office Location

Street Address 157 CLINIC AVE STE 202, ROOM 219
City CARROLLTON
State GA
Zip Code 30117-4454

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1568881951 Omar Hajmurad Anesthesiology 812 S Park St Ste 5, Carrollton, GA 30117 2014-04-14
1134550353 Goodbodys Minor Med Express Care Nurse Practitioner 1670 South Park St., Carrollton, GA 30117 2013-12-13
1306187570 Myriam C Vela-ortiz Internal Medicine 157 Clinic Ave Ste 203, Carrollton, GA 30117 2013-03-12
1891030201 Air Evac Ems, Inc. Ambulance 827 Old Bremen Rd, Carrollton, GA 30117 2012-12-11
1952682486 Angelic Wings Transport, Inc. Non-emergency Medical Transport (VAN) 362 B Columbia Drive, Carrollton, GA 30117 2011-08-29
1073819256 Atlanta Prosthetics & Orthotics, Inc. Durable Medical Equipment & Medical Supplies 812 South Park Street, Suite 2, Carrollton, GA 30117 2011-02-04
1255640348 Amy Gilbert Counselor 515 Tanner St, Carrollton, GA 30117 2010-10-06
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Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316565880 Ams Health Inc Pharmacy 4541 N Josey Ln Ste 250, Carrollton, TX 75010-4781 2020-07-10
1386203933 Neo Texas LLC Pharmacy 1933 E Frankford Rd Ste 120, Carrollton, TX 75007-5394 2019-06-07
1548745219 Locus Health, LLC Pharmacy 1205 N Josey Ln Ste B, Carrollton, TX 75006-6145 2018-09-28
1457848004 Hillcrest Pharmacy, LLC Pharmacy 3065 N Josey Ln Ste 60, Carrollton, TX 75007-5348 2018-04-19
1043742737 Sas Pharmacy Inc. Pharmacy 1205 N Josey Ln Ste 200a, Carrollton, TX 75006-6145 2017-03-31
1295140572 B-pharm, Inc Pharmacy 1003 Highway 65 North, Suite B, Carrollton, MO 64633 2014-06-25
1639590995 Agateno Technologies LLC Pharmacy 3648 Old Denton Rd Ste 104, Carrollton, TX 75007-7977 2014-01-03
1407129968 Baylor Health Enterprises Lp Pharmacy 4323 N Josey Ln Ste 102, Carrollton, TX 75010-4630 2012-02-14
1215012570 Texas Hematology/oncology Center, Pa Pharmacy 4352 North Josey Lane, Carrollton, TX 75010 2006-10-26
1083718860 Cvs Pharmacy Inc Pharmacy 3065 N Josey Ln, Suite 64, Carrollton, TX 75007-5340 2006-09-12
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Competitor

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City CARROLLTON
Zip Code 30117

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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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