CREEKSIDE PHARMACY CORP (NPI# 1770041956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770041956 |
| Entity Type | Organization |
| Organization Name | CREEKSIDE PHARMACY CORP |
| Practice Address |
220 Atlanta Rd Cumming GA 30040-2610 |
| Practice Telephone | 6786221032 |
| Enumeration Date | 2019-03-07 |
| Last Update Date | 2020-01-20 |
| Authorized Official Name | DR. ANSELM ADDO (PRESIDENT/CEO) |
| Authorized Official Telephone | 4702975749 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| Street Address |
220 ATLANTA RD |
| City | CUMMING |
| State | GA |
| Zip Code | 30040-2610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427684729 | Am Nollenberger Counseling | Counselor | 327 Dahlonega Street Ste 901 A, Cumming, GA 30040 | 2020-03-18 |
| 1497388904 | Ben Allen Sanders | Pharmacist | Kroger Pharmacy 627, 5550 Bethelview Road, Cumming, GA 30040 | 2020-02-13 |
| 1407415615 | Jacqueline Small | Nurse Practitioner | 407 W Maple St # 101, Cumming, GA 30040 | 2019-06-11 |
| 1336706316 | Mary Kathleen Hesidence | Nurse Practitioner | 81 Northside Dr, #100, Dawsonville, GA 30040 | 2019-05-24 |
| 1851958334 | North Georgia Pathology | Pathology | 4150 Deputy Bill Cantrell Memorial Rd Suite 200, Cumming, GA 30040 | 2019-05-21 |
| 1598320087 | Emily Rebecca Downs | Physician Assistant | 3970 Deputy Bill Cantrell Memorial Road Ste 150, Cumming, GA 30040 | 2019-05-09 |
| 1215490057 | Shine Speech Language Therapy LLC | Speech-Language Pathologist | 107 Pilgrim Village Dr Suite 400, Cumming, GA 30040 | 2019-04-09 |
| 1417430075 | Ashley Michelle Nollenberger | Counselor | 327 Dahlonega Street, Ste 901 A, Cumming, GA 30040 | 2018-09-10 |
| 1518445410 | Village Pediatrics At Vickery | Pediatrics | 7185 Colfax Aveune, Suite 200, Cumming, GA 30040 | 2018-08-02 |
| 1306339841 | Fukuzato Eyecare, Inc | Optometrist | 3670 Hutchinson Rd Ste A&b, Cumming, GA 30040 | 2018-06-09 |
| Find all providers in zip 30040 | ||||
| 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 |
|---|---|---|---|---|
| 1689861189 | Walgreen Co | Pharmacy | 3290 Keith Bridge Rd, Cumming, GA 30041-3937 | 2007-09-28 |
| 1538352588 | Walgreen Co | Pharmacy | 2595 Peachtree Pkwy, Cumming, GA 30041-7223 | 2007-08-23 |
| 1861557639 | Sawnee Drug Co | Pharmacy | 2515 Business Dr, Cumming, GA 30040-4394 | 2006-12-22 |
| 1952316804 | Ingles Markets Inc | Pharmacy | 1090 Buford Rd, Cumming, GA 30041-2720 | 2006-07-29 |
| 1861407975 | Walgreen Co | Pharmacy | 1650 Buford Hwy, Cumming, GA 30041-6585 | 2006-07-29 |
| 1689696478 | Georgia Cvs Pharmacy LLC | Pharmacy | 1525 Market Place Blvd, Cumming, GA 30041-7935 | 2006-07-24 |
| 1992221618 | Walgreen Co | Pharmacy | 2820 Keith Bridge Rd, Cumming, GA 30041-3935 | 2017-08-15 |
| 1053702191 | Georgia Highlands Medical Services, Inc. | Pharmacy | 260 Elm St, Cumming, GA 30040-2467 | 2015-02-11 |
| 1265820799 | Shadyl Pharmacy Management, LLC | Pharmacy | 5610 Bethelview Rd, Suite 700, Cumming, GA 30040-7522 | 2015-01-06 |
| 1205249984 | Costco Wholesale Corporation | Pharmacy | 1211 Bald Ridge Marina Rd, Cumming, GA 30041 | 2014-06-10 |
| Find all providers in CUMMING | ||||
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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.