NURSING HOME PHARMACY LLC (NPI# 1780680652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780680652 |
| Entity Type | Organization |
| Organization Name | NURSING HOME PHARMACY LLC |
| Other Organization Name | NURSING HOME PHARMACY |
| Practice Address |
1865 Bold Springs Rd Nw Monroe GA 30656-4605 |
| Practice Telephone | 7702678677 |
| Practice Fax Number | 7702676462 |
| Mailing Telephone | 7702678677 |
| Mailing Fax Number | 7702676462 |
| Enumeration Date | 2005-06-24 |
| Last Update Date | 2016-08-02 |
| Authorized Official Name | JOHN GLEATON (PARTNER) |
| Authorized Official Telephone | 7702678677 |
| Authorized Official Credential | BS PHARMACY |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
PHRE004071 | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2012681 | 01 | |
| GA | 00002164 | 05 |
| Other Name | Type Code |
|---|---|
| NURSING HOME PHARMACY | Doing Business As Name - Organization |
| Street Address |
1865 BOLD SPRINGS RD NW |
| City | MONROE |
| State | GA |
| Zip Code | 30656-4605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700359973 | Juliet Eziafa Olele | Occupational Therapist | 1865 Bold Springs Rd Nw, Monroe, GA 30656-4605 | 2019-01-09 |
| 1740732163 | James Townsend Merwin Iv | Physical Therapist | 1865 Bold Springs Rd Nw, Monroe, GA 30656-4605 | 2016-11-02 |
| 1356893705 | Deasia Monique Mcmillan | Occupational Therapy Assistant | 1865 Bold Springs Rd Nw, Monroe, GA 30656-4605 | 2016-11-02 |
| 1366991580 | Tyler Pyles | Physical Therapist | 1865 Bold Springs Rd Nw, Monroe, GA 30656-4605 | 2016-09-29 |
| 1275087363 | Jamie Jenkins | Physical Therapy Assistant | 1865 Bold Springs Rd Nw, Monroe, GA 30656-4605 | 2016-08-07 |
| 1376096081 | Yun Lee | Occupational Therapy Assistant | 1865 Bold Springs Rd Nw, Monroe, GA 30656-4605 | 2016-07-28 |
| 1780056622 | Trent Gabriel | Physical Therapy Assistant | 1865 Bold Springs Rd Nw, Monroe, GA 30656-4605 | 2015-10-29 |
| 1942600226 | Keri Mooney | Speech-Language Pathologist | 1865 Bold Springs Rd Nw, Monroe, GA 30656-4605 | 2014-08-24 |
| 1174965768 | Lauren Mcneely | Physical Therapy Assistant | 1865 Bold Springs Rd Nw, Monroe, GA 30656-4605 | 2013-07-23 |
| 1558703322 | Genesis Rehab Services | Skilled Nursing Facility | 1865 Bold Springs Rd Nw, Monroe, GA 30656-4605 | 2013-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679087274 | Misty Sue's Adult Day Health Center LLC | Clinic/Center | 517 Hill St, Monroe, GA 30656-1507 | 2017-11-20 |
| 1285022186 | Frances Campbell | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2773 Oakmont Way, Monroe, GA 30656-2702 | 2014-12-30 |
| 1750536819 | Magnolia Blooms PCh,llc | Clinic/Center | 1250 Nicholsville Rd Nw, Monroe, GA 30656-3469 | 2008-11-17 |
| 1821492034 | Elizabeth Smith | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1227 Dale Dr, Monroe, GA 30656-3500 | 2014-10-17 |
| 1851868293 | Lusi Yang | Chiropractor | 2311 Shockley Rd Nw, Monroe, GA 30656-3677 | 2018-10-24 |
| 1578733291 | Guldmann Southeast | Durable Medical Equipment & Medical Supplies | 2040 Mount Vernon Rd Nw, Monroe, GA 30656-4360 | 2008-03-10 |
| 1295775955 | Susan Gerald Cook | Physical Therapist | 1045 Old Mill Trce, Monroe, GA 30656-4379 | 2006-06-08 |
| 1871732040 | Natalie H Grooms | Occupational Therapist | 1045 Old Mill Trce, Monroe, GA 30656-4379 | 2009-02-11 |
| 1881770949 | Mary Hinch | Physical Therapist | 1045 Old Mill Trce, Monroe, GA 30656-4379 | 2006-10-31 |
| 1326120932 | Activekidz and Adult Therapy Services | Physical Therapist | 1045 Old Mill Trce, Monroe, GA 30656-4379 | 2006-10-20 |
| Find all providers in zip 30656 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| 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] |
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| 1366675399 | Carmichaels Vital Care Pharmacy Inc | Pharmacy | 150-d Mlk Jr. Blvd, Monroe, GA 30655 | 2009-08-25 |
| 1942820949 | Texas Road Applegarth | Pharmacy | 355 Applegarth Rd, Monroe, NJ 08831-3733 | 2020-04-20 |
| 1477018919 | Yinger Pharmacy Shoppe Inc | Pharmacy | 1704 S Custer Rd, Monroe, MI 48161-1622 | 2019-02-08 |
| 1790280717 | Community Pharmacy LLC | Pharmacy | 2123 Forsythe Ave, Monroe, LA 71201-3610 | 2018-03-30 |
| 1679857304 | Community Pharmacy LLC | Pharmacy | 2123 Forsythe Ave, Monroe, LA 71201-3610 | 2011-09-29 |
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| 1942800271 | Macs Ltc Pharmacy Georgia LLC | Pharmacy | 1351 Oakbrook Dr Ste 110, Norcross, GA 30093-2242 | 2020-10-27 |
| 1295347516 | Kayton Pharmacy LLC | Pharmacy | 541 Forest Pkwy Ste 4, Forest Park, GA 30297-2147 | 2020-08-18 |
| 1205479771 | Welltree Pharmacy LLC | Pharmacy | 5009 Roswell Rd Ste 210, Atlanta, GA 30342-2205 | 2019-10-28 |
| 1346882735 | Mortar and Pestle, LLC | Pharmacy | 300 Mooty Bridge Rd, Lagrange, GA 30240-1881 | 2019-10-17 |
| 1134685241 | Mgp Rx, LLC | Pharmacy | 1951 Canton Rd Ste 290, Marietta, GA 30066-6300 | 2019-02-13 |
| 1326553090 | West Georgia Home Medical Equipment Co Inc | Pharmacy | 1861 Roanoke Rd Ste A, Lagrange, GA 30240-3850 | 2017-12-04 |
| 1295278166 | Prestige Pharmacy Snellville LLC | Pharmacy | 1551 Janmar Rd, Suite B, Snellville, GA 30078-5606 | 2016-11-28 |
| 1609327089 | Butler Long Term Care Solutions | Pharmacy | 10 B North Poplar St, Butler, GA 31006 | 2016-10-20 |
| 1285180711 | Vn Pharmacy LLC | Pharmacy | 5000 Buford Hwy, Suite A-106, Atlanta, GA 30341-3500 | 2016-08-25 |
| 1871953406 | South Georgia Pharmacy Services Inc | Pharmacy | 720 W Central Ave Ste 1, Moultrie, GA 31768-3560 | 2016-02-24 |
| Find all providers with the same taxonomy | ||||
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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.