CADUCEUS USA MEDICAL PHARMACY LLC (NPI# 1780047290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780047290 |
Entity Type | Organization |
Organization Name | CADUCEUS USA MEDICAL PHARMACY LLC |
Other Organization Name | CADUCEUS OCCUPATIONAL MEDICINE |
Practice Address |
535 N Central Ave Hapeville GA 30354-1603 |
Practice Telephone | 4047611263 |
Practice Fax Number | 4047612698 |
Mailing Telephone | 4047611263 |
Mailing Fax Number | 4047612698 |
Enumeration Date | 2016-04-01 |
Last Update Date | 2016-04-29 |
Authorized Official Name | STEPHEN DAWKINS (MEDICAL DIRECTOR & OWNER) |
Authorized Official Telephone | 4047614040 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 333600000X | Pharmacy | Suppliers | ||
N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
PHRE008706 | GA | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PK | 2159170 | 01 |
Other Name | Type Code |
---|---|
Caduceus Occupational Medicine | Doing Business As Name - Organization |
Street Address |
535 N CENTRAL AVE |
City | HAPEVILLE |
State | GA |
Zip Code | 30354-1603 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265413025 | Northwest Diagnostic Imaging, Inc | Radiology | 535 N Central Ave, Hapeville, GA 30354-1603 | 2005-11-09 |
1821550799 | Cheryl Cason | Nurse Practitioner | 535 N Central Ave, Hapeville, GA 30354-1603 | 2019-04-01 |
1538422746 | Brandon Dawkins | Preventive Medicine | 535 N Central Ave, Hapeville, GA 30354-1603 | 2012-06-21 |
1710110846 | Open Mri of Georgia, Inc | Radiology | 535 N Central Ave, Hapeville, GA 30354-1603 | 2009-08-24 |
1104065622 | Tynisha Tolbert | Physical Therapist | 535 N Central Ave, Hapeville, GA 30354-1603 | 2009-02-05 |
1427293760 | Darren W Flowers | Pharmacist | 535 N Central Ave, Hapeville, GA 30354-1603 | 2008-12-15 |
1730375296 | James Rudolph Elmore | Pharmacist | 535 N Central Ave, Hapeville, GA 30354-1603 | 2007-09-19 |
1831384478 | Arlene Renee Emmons | Preventive Medicine | 535 N Central Ave, Hapeville, GA 30354-1603 | 2007-09-06 |
1154534303 | Akpomudiare Samuel Otuguor | Emergency Medicine | 535 N Central Ave, Hapeville, GA 30354-1603 | 2007-05-07 |
1467582635 | Caduceus Occupational Medicine | Preventive Medicine | 535 N Central Ave, Hapeville, GA 30354-1603 | 2007-03-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700426996 | A Touch of Love Personal Care & Consulting | In Home Supportive Care | 100 Hartsfield Centre Pkwy Suite 500, Atlanta, GA 30354 | 2020-01-15 |
1952887168 | Walking In Purpose Inc. | Counselor | 3504 Eisenhower Cir Se, Atlanta, GA 30354 | 2018-07-11 |
1699193987 | Airport Spinal Injury | Clinic/Center | 809 North Central Ave, Hapeville, GA 30354 | 2014-04-03 |
1801234885 | Allergy Specialists of Georgia | Internal Medicine | 438 Henry Ford, Atlanta, GA 30354 | 2013-06-12 |
1851442867 | Harandi, Harandi, Spelios and Associates Hapeville LLC | Point of Service | 785 Virginia Ave, Suite A, Hapeville, GA 30354 | 2007-01-16 |
1013068782 | Ali Harandifassih | Dentist | 785 Virginia Avenue, Suite A, Hapeville, GA 30354 | 2007-01-16 |
1336207349 | Catherine Clayton Harper | Registered Nurse | 3444 Claire Dr, Hopeville, GA 30354 | 2006-12-04 |
1649346099 | Katherine Lee Gill | Registered Nurse | 3444 Claire Drive, Hapeville, GA 30354 | 2006-11-28 |
1407865108 | Occupational Health Centers of Georgia PC | Clinic/Center | 3580 Atlanta Avenue, Hapeville, GA 30354 | 2006-08-05 |
1063488633 | Anthony Keith Taylor | Physician Assistant | 791 Oak Street, Hapeville, GA 30354 | 2006-02-24 |
Find all providers in zip 30354 |
Taxonomy Code | 3336C0002X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Clinic Pharmacy |
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
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 |
---|---|---|---|---|
1124598362 | Grady Memorial Hospital Corporation | Pharmacy | 80 Jesse Hill Jr Dr Se Rm 10b-043, Atlanta, GA 30303-3031 | 2018-11-30 |
1265974455 | Counseling Solutions of Chatsworth, LLC | Pharmacy | 1289 Gi Maddox Pkwy, Chatsworth, GA 30705-2069 | 2016-11-05 |
1912367111 | Carrollton Orthopaedic Clinic PC | Pharmacy | 812 S Park St Ste 3, Carrollton, GA 30117-4412 | 2016-03-01 |
1013376490 | Carrollton Orthopaedic Clinic PC | Pharmacy | 204 Allen Memorial Dr Ste 102, Bremen, GA 30110-2063 | 2016-02-15 |
1861791246 | New Start Treatment, LLC | Pharmacy | 1615 Highway 19 N, User, Thomaston, GA 30286-2277 | 2011-03-24 |
1740584770 | Southcoast Medical Group P C | Pharmacy | 1326 Eisenhower Dr Bldg 1, Savannah, GA 31406-3928 | 2011-01-05 |
1235348020 | Medicine Center of Atlanta | Pharmacy | 3646 Chamblee Tucker Rd, Suite C, Chamblee, GA 30341-4406 | 2007-05-21 |
1700099454 | Curtis V. Cooper Primary Health Care, Inc. | Pharmacy | 106 E. Broad St., Savannah, GA 31401-2917 | 2007-05-08 |
1720187602 | Forest Heights Phcy Inc | Pharmacy | Hlth Svcs Bldg, Watson Hall, Statesboro, GA 30460-0001 | 2006-09-21 |
1811902448 | Middle Flint Community Board | Pharmacy | 1335 N 5th Street Ext, Cordele, GA 31015-3753 | 2006-07-30 |
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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.