FAITH PHARMACY INC (NPI# 1821084682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821084682 |
| Entity Type | Organization |
| Organization Name | FAITH PHARMACY INC |
| Other Organization Name | FAITH PHARMACY, INC. |
| Practice Address |
1720 Phoenix Blvd Ste 400 College Park GA 30349-5594 |
| Practice Telephone | 7709971112 |
| Practice Fax Number | 7709971905 |
| Mailing Telephone | 7709971112 |
| Mailing Fax Number | 7709971905 |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2016-07-18 |
| Authorized Official Name | FERDINAND MEDIKO (OWNER) |
| Authorized Official Telephone | 7709971112 |
| Authorized Official Credential | BA PSYCHOLOGY |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHRE008847 | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 805224208A | 05 | |
| PK | 2130228 | 01 |
| Other Name | Type Code |
|---|---|
| Faith Pharmacy, Inc. | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023336419 | Faith Pharmacy Inc | Pharmacy | 140 Adams Ln Ste 500, Pikeville, KY 41501-3085 | 2010-05-10 |
| 1659386274 | Faith Pharmacy Inc | Pharmacy | 26357 Mcbean Pkwy, Valencia, CA 91355-4488 | 2006-07-30 |
| Street Address |
1720 PHOENIX BLVD STE 400 |
| City | COLLEGE PARK |
| State | GA |
| Zip Code | 30349-5594 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326388752 | Kids Avenue Pediatrics LLC | Pediatrics | 1720 Phoenix Blvd, College Park, GA 30349-5594 | 2013-02-21 |
| 1801057609 | Kids Avenue Pediatrics LLC | Pediatrics | 1720 Phoenix Blvd, Suite900, College Park, GA 30349-5594 | 2008-06-24 |
| 1568639888 | Cardiac Disease Specialists, P.C. | Internal Medicine | 1720 Phoenix Blvd, Suite 200, College Park, GA 30349-5594 | 2008-05-15 |
| 1437354396 | Susan Rachelle Winfield | Counselor | 1720 Phoenix Blvd, Suite 540, College Park, GA 30349-5594 | 2007-06-19 |
| 1710011408 | Antaures D Jackson | Chiropractor | 1720 Phoenix Blvd, Suite 450, College Park, GA 30349-5594 | 2007-03-15 |
| 1023151313 | Sandra Wordlaw-watkins | Family Medicine | 1720 Phoenix Blvd, College Park, GA 30349-5594 | 2007-02-15 |
| 1972674190 | Iqbal Hussain Dhanani | Specialist | 1720 Phoenix Blvd, Suite 570, College Park, GA 30349-5594 | 2006-11-10 |
| 1043322753 | Karen Yvonne Luster | Internal Medicine | 1720 Phoenix Blvd, Ste 700, College Park, GA 30349 | 2006-08-31 |
| 1487697124 | Gertrude Brown Arrington | Pediatrics | 1720 Phoenix Blvd, College Park, GA 30349 | 2006-06-13 |
| 1487693875 | Phoenix Women's Center, P.C. | Obstetrics & Gynecology | 1720 Phoenix Blvd, College Park, GA 30349-5594 | 2006-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376185686 | Kmb Diagnostics | Durable Medical Equipment & Medical Supplies | 941 Flat Shoals Rd, Atlanta, GA 30349 | 2019-10-09 |
| 1114575859 | Justin Vassell | Registered Nurse | 1903 Phoenix Boulevard, Suite 200, College Park, GA 30349 | 2019-08-27 |
| 1841856663 | Kennyetta Danielle Watkins | Counselor | 1431 Riverwalk Ln, Apt. F, College Park, GA 30349 | 2019-05-16 |
| 1275002636 | Patriot Healthcare of Georgia, LLC | Family Medicine | 1587 Phoenix Boulevard, Suite 6, College Park, GA 30349 | 2018-11-15 |
| 1669971875 | Ee Consulting Solution | Case Management | 6320 Topaz Tral, Arlanta, GA 30349 | 2018-02-03 |
| 1629595640 | Shayla Bouie | Contractor | 5420 Riverdale Rd Apt D17, Atlanta, GA 30349 | 2017-08-30 |
| 1114475563 | Jasmine V Mccully | Social Worker | 5864 Summergien Lane, College Park, GA 30349 | 2016-09-14 |
| 1639537681 | Shelia Thornton | Counselor | 5856 Seabright Lane, Atlanta, GA 30349 | 2016-02-05 |
| 1346610177 | Joanne Resilard | Nurse Practitioner | 2931 Herron Ln Sw, Atlanta, GA 30349 | 2015-10-06 |
| 1063805091 | Southwest Atlanta Medical & Rehabilitation Clinic LLC | Family Medicine | 495 85 Circle, Suite 100, Atlanta, GA 30349 | 2015-03-16 |
| Find all providers in zip 30349 | ||||
| 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 |
|---|---|---|---|---|
| 1700265071 | Maryland Cvs Pharmacy LLC | Pharmacy | 7501 Baltimore Ave Ste 1, College Park, MD 20740-3651 | 2015-05-20 |
| 1912004490 | Maryland Cvs Pharmacy, L.L.C. | Pharmacy | 7300 Washington Baltimore Blvd, College Park, MD 20740 | 2006-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154922441 | Southern Pharmacy Group LLC | Pharmacy | 110 Allison St., Jesup, GA 31545 | 2020-11-04 |
| 1184225526 | Svdp Georgia Community Pharmacy LLC | Pharmacy | 2050 Chamblee Tucker Rd Ste C, Chamblee, GA 30341-3343 | 2020-11-03 |
| 1194325860 | Panola Pharmacy LLC | Pharmacy | 2348 Panola Rd Unit C, Lithonia, GA 30058-5406 | 2020-10-30 |
| 1659971539 | Bob and Jeff's Hometown Pharmacy of Thomasville, LLC | Pharmacy | 309 Smith Ave, Thomasville, GA 31792-5534 | 2020-10-29 |
| 1679171979 | Dfg LLC | Pharmacy | 638 Historic Hwy 441 Suite A, Demorest, GA 30530 | 2020-10-09 |
| 1033716915 | Au Medical Center, Inc. | Pharmacy | 818 Saint Sebastian Way Ste 402, Augusta, GA 30901-2654 | 2020-10-05 |
| 1043817208 | Mlk Pharmacy2.0 | Pharmacy | 2457 Mlk Jr Dr Sw Ste A, Atlanta, GA 30311-1712 | 2020-10-01 |
| 1508470964 | Swain Drug Company LLC | Pharmacy | 855 Bowens Mill Rd Sw Suite E, Douglas, GA 31533 | 2020-09-03 |
| 1205446341 | Sunny Pharmacy | Pharmacy | 5364 Jonesboro Rd, Lake City, GA 30260-3557 | 2020-08-04 |
| 1841818044 | Hospital Authority of Miller County | Pharmacy | 213 Delores Street, Colquitt, GA 39837 | 2020-07-14 |
| Find all providers with the same taxonomy | ||||
| City | COLLEGE PARK |
| Zip Code | 30349 |
Please comment or provide details below to improve the information on FAITH PHARMACY INC.
| 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.