TOWNE LAKE FAMILY PHARMACY LLC (NPI# 1831480078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831480078 |
| Entity Type | Organization |
| Organization Name | TOWNE LAKE FAMILY PHARMACY LLC |
| Other Organization Name | TOWNE LAKE FAMILY PHARMACY LLC |
| Practice Address |
2045 Towne Lake Pkwy Ste 110 Woodstock GA 30189-5549 |
| Mailing Address |
2045 Towne Lake Pkwy Suite 110 Woodstock GA 30189-5549 |
| Practice Telephone | 7709244110 |
| Mailing Telephone | 7709244110 |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2017-01-18 |
| Authorized Official Name | OFORI QUARCOO (OWNER) |
| Authorized Official Telephone | 7706357697 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHRE009746 | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2130061 | 01 |
| Other Name | Type Code |
|---|---|
| Towne lake Family Pharmacy LLC | Doing Business As Name - Organization |
| Street Address |
2045 TOWNE LAKE PKWY STE 110 |
| City | WOODSTOCK |
| State | GA |
| Zip Code | 30189-5549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494356 | Susan Iruku | Pharmacist | 12050 Ga-92 #112, Woodstock, GA 30189 | 2020-10-15 |
| 1598267437 | Kelly Sierra | Nurse Practitioner | 100 Stoneforest Dr Ste 300, Woodstock, GA 30189 | 2018-03-07 |
| 1548770449 | Chandra Johnson | Nurse Practitioner | 295 Molly Lane Ste 150, Woodstock, GA 30189 | 2017-10-05 |
| 1083133912 | Amanda Bostock Sowisdral | Physician Assistant | 250 Parkbrooke Pl Ste 300, Woodstock, GA 30189 | 2017-09-12 |
| 1780101659 | Laura C Koch Woodstock LLC Dba Fountain View Dentistry | Dentist | 1816 Eagle Drive, Building 200-a, Woodstock, GA 30189 | 2017-08-23 |
| 1265954788 | Vicky Morton Bryan | Nurse Practitioner | 422 Sycamore Trail, Woodstock, GA 30189 | 2017-07-17 |
| 1063933588 | Marietta Eye Clinic, Pa | Optometrist | 2990 Eagle Dr Ste 110, Woodstock, GA 30189 | 2017-07-06 |
| 1275914749 | Nrup Tolat | Podiatrist | 100 Stoneforest Dr Ste 120, Woodstock, GA 30189 | 2015-06-10 |
| 1558781534 | Mary Jansson Carmon | Nurse Practitioner | 1000 Towne Lake Pkwy, Woodstock, GA 30189 | 2014-04-17 |
| 1518388941 | Afc Physicians of Georgia, PC | General Practice | 6440 Bells Ferry Rd, Woodstock, GA 30189 | 2014-01-03 |
| Find all providers in zip 30189 | ||||
| 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 |
|---|---|---|---|---|
| 1770798308 | Walgreen Co | Pharmacy | 950 Towne Lake Pkwy, Woodstock, GA 30189-1601 | 2007-05-14 |
| 1093819856 | Cvs Albany LLC | Pharmacy | 60 Mill Hill Rd, Woodstock, NY 12498-1316 | 2006-09-12 |
| 1437252178 | Virginia Cvs Pharmacy L L C | Pharmacy | 221 West Reservoir Rd, Woodstock, VA 22664 | 2006-09-07 |
| 1487142584 | Costco Wholesale Corporation | Pharmacy | 113 Lincoln Street, Woodstock, GA 30188 | 2018-04-25 |
| 1265759815 | Progression LLC | Pharmacy | 79 Tinker St, Woodstock, NY 12498-1238 | 2010-04-22 |
| 1992927479 | Shire Apothecary, Inc. | Pharmacy | 13 Elm Street, Woodstock, VT 05091 | 2007-05-03 |
| 1366593139 | Woodstock Drug Inc | Pharmacy | 28891 Highway 5, Woodstock, AL 35188-0280 | 2007-01-16 |
| 1679643332 | Woodstock Pharmaceutical & Compounding Center Inc | Pharmacy | 8612 Main St, Woodstock, GA 30188-4829 | 2006-11-09 |
| 1366536773 | Mercy Health System Corporation | Pharmacy | 2000 Lake Ave, Woodstock, IL 60098-7401 | 2006-10-03 |
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| 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 | ||||
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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.