GEORGIA CVS PHARMACY, L.L.C. (NPI# 1730312190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730312190 |
| Entity Type | Organization |
| Organization Name | GEORGIA CVS PHARMACY, L.L.C. |
| Other Organization Name | CVS PHARMACY # 07044 |
| Practice Address |
687 Johnson Ferry Rd Marietta GA 30068-4628 |
| Mailing Address |
1 Cvs Dr Box 1075 - Pharmacy Enrollments Woonsocket RI 02895-6146 |
| Practice Telephone | 7709779220 |
| Mailing Telephone | 4017651500 |
| Mailing Fax Number | 4017707108 |
| Enumeration Date | 2009-09-01 |
| Last Update Date | 2011-03-08 |
| 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 | 703515625A | 05 | |
| GA | NCPDP | 1159044 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy # 07044 | 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 |
687 JOHNSON FERRY RD |
| City | MARIETTA |
| State | GA |
| Zip Code | 30068-4628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568450161 | Karla Vanessa Miralles | Nurse Practitioner | 687 Johnson Ferry Rd, Marietta, GA 30068-4628 | 2005-10-09 |
| 1386101525 | Turquoise Alexis Holmes | Nurse Practitioner | 687 Johnson Ferry Rd, Marietta, GA 30068-4628 | 2019-02-25 |
| 1366911539 | Yutaka Onuki | Pharmacist | 687 Johnson Ferry Rd, Marietta, GA 30068-4628 | 2018-11-17 |
| 1568947133 | Meta Jean Cristiano | Nurse Practitioner | 687 Johnson Ferry Rd, Marietta, GA 30068-4628 | 2018-09-30 |
| 1518488972 | Sasha Geathers Morton | Nurse Practitioner | 687 Johnson Ferry Rd, Marietta, GA 30068-4628 | 2017-07-06 |
| 1447786892 | Lauren Ashley Taylor | Registered Nurse | 687 Johnson Ferry Rd, Marietta, GA 30068-4628 | 2017-05-04 |
| 1952665556 | Alyson Lane | Nurse Practitioner | 687 Johnson Ferry Rd, Marietta, GA 30068-4628 | 2012-06-28 |
| 1861641839 | Melissa Joy Probst | Nurse Practitioner | 687 Johnson Ferry Rd, Marietta, GA 30068-4628 | 2008-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831798917 | Barbara Ann Goldschmidt | Pharmacist | 4088 Lower Roswell Rd, Marietta, GA 30068 | 2020-10-20 |
| 1285274480 | Cory Plasker | Chiropractor | 519b Johnson Ferry Road, Suite 350, Marietta, GA 30068 | 2020-01-15 |
| 1952949893 | Dr Amy L Varner LLC | Internal Medicine | 1000 Johnson Ferry Rd Bldg E Ste 200, Marietta, GA 30068 | 2019-12-11 |
| 1417501834 | Cornerstone Hospice and Palliative Care of Georgia, LLC | Hospice Care, Community Based | 1225 Johnson Ferry Rd., Bldg. 100, Suite 160, Marietta, GA 30068 | 2019-07-25 |
| 1639721038 | Cayla Clark | Behavior Technician | 137 Johnson Ferry Road Suite 2170, Marietta, GA 30068 | 2019-07-15 |
| 1467910828 | 2me Healthcare,llc | Home Health | 2586 Club Valley Drive Ne, Marietta, GA 30068 | 2019-03-05 |
| 1265912604 | Feidy Chiropractic Clinic Inc, Dba Cardwell Chiropractic Clinic | Chiropractor | 1230 Johnson Ferry Pl Ste G30, Marietta, GA 30068 | 2018-08-15 |
| 1225514219 | Audrey Hughes. Lcsw, LLC | Clinic/Center | 1212 Johnson Ferry Rd, Suite 300, Marietta, GA 30068 | 2018-07-13 |
| 1316461379 | Evan King | Registered Nurse | 52 Pioneer Trl, Marietta, GA 30068 | 2017-08-01 |
| 1912431867 | Anthony Izore | Nurse Practitioner | 5163 Tall Oak Drive, Marietta, GA 30068 | 2017-04-18 |
| Find all providers in zip 30068 | ||||
| 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 |
|---|---|---|---|---|
| 1750928719 | Goodscript, Inc. | Pharmacy | 3115 Roswell Rd Ste 205, Marietta, GA 30062-7611 | 2019-12-09 |
| 1417454455 | Due West Pharmacy | Pharmacy | 3880 Due West Rd Nw Ste 118, Marietta, GA 30064-1058 | 2018-04-06 |
| 1801180625 | Guardian Pharmacy of Atlanta, LLC | Pharmacy | 1750 Enterprise Way Se Ste 105, Marietta, GA 30067-9220 | 2011-06-09 |
| 1063733210 | Kaiser Foundation Health Plan of Georgia, Inc. | Pharmacy | 2505 Dallas Hwy Sw, Marietta, GA 30064-2659 | 2010-06-22 |
| 1912068081 | Whitlock Pharmacy Inc | Pharmacy | 3880 Due West Rd Nw, Suite E, Marietta, GA 30064-1058 | 2006-12-13 |
| 1982798476 | Pooles Pharmacy Incorporated | Pharmacy | 660 Whitlock Ave Nw Ste G-1, Marietta, GA 30064-3174 | 2006-10-02 |
| 1568477487 | The Tamarkin Company | Pharmacy | 128 Gross St, Marietta, OH 45750-2031 | 2006-07-29 |
| 1639196827 | Wal-mart Stores East Lp | Pharmacy | 804 Pike St, Marietta, OH 45750-3503 | 2006-07-16 |
| 1114958253 | K Mart Corp | Pharmacy | 1140 Roswell Rd, Marietta, GA 30062-3606 | 2006-07-06 |
| 1417935701 | Wellstar Homecare Billing, LLC | Pharmacy | 805 Sandy Plains Rd, Marietta, GA 30066-6340 | 2006-01-06 |
| Find all providers in MARIETTA | ||||
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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.