GEORGIA REGIONAL HOSPITAL PHARMACY (NPI# 1881728749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881728749 |
| Entity Type | Organization |
| Organization Name | GEORGIA REGIONAL HOSPITAL PHARMACY |
| Practice Address |
3073 Panthersville Road Patient Accounts Office Decatur GA 30034-3828 |
| Mailing Address |
P.o. Box 370407 Patient Accounts Office Decatur GA 30034-3828 |
| Practice Telephone | 4042432158 |
| Practice Fax Number | 4042432159 |
| Mailing Telephone | 4042432158 |
| Mailing Fax Number | 4042432159 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2009-08-14 |
| Authorized Official Name | SONNY SLATE (CHIEF OPERATIONS OFFICER) |
| Authorized Official Telephone | 4042432121 |
| Authorized Official Credential | COO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | 044-232 | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | PHARMACY PROVIDER NUMBER | 000355715A | 01 |
| PHARMACY | 1119723 | 01 |
| Street Address |
3073 PANTHERSVILLE ROAD PATIENT ACCOUNTS OFFICE |
| City | DECATUR |
| State | GA |
| Zip Code | 30034-3828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922056902 | Delquis Rafael Mendoza | Psychiatry & Neurology | 3073 Panthersville Road, Patients Accounts Office, Decatur, GA 30034 | 2006-05-04 |
| 1497035380 | Dene Ruth Bellamy | Clinical Nurse Specialist | 3073 Panthersville Road, Decatur, GA 30034 | 2011-08-23 |
| 1821287046 | Katina M New | Nurse Practitioner | 3073 Panthersville Road, Medical Clinic, Decatur, GA 30034-3828 | 2007-10-24 |
| 1730378951 | Steven C Stout | Psychiatry & Neurology | 3073 Panthersville Road, Patient Accounts, Decatur, GA 30034-3828 | 2007-10-24 |
| 1942320031 | Verona D Lawson | Psychiatry & Neurology | 3073 Panthersville Road, Patient Accounts Office, Decatur, GA 30034-3828 | 2007-03-30 |
| 1841328135 | Icfmr At Georgia Regional Hospital Atlanta | Skilled Nursing Facility | 3073 Panthersville Road, Decatur, GA 30034-3828 | 2007-03-01 |
| 1659409951 | Skilled Nursing Facility Grha | Skilled Nursing Facility | 3073 Panthersville Road, Decatur, GA 30034-3828 | 2007-03-01 |
| 1659314847 | Donald W Smith | Psychologist | 3073 Panthersville Road, Decatur, GA 30034-3828 | 2006-06-14 |
| 1730122482 | Ga Department of Human Resources | Psychiatric Hospital | 3073 Panthersville Road, Decatur, GA 30034-3828 | 2006-06-13 |
| 1598713448 | Scott John Schoenherr | Psychologist | 3073 Panthersville Road, Patient Accounts Office, Decatur, GA 30034-3828 | 2006-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689289803 | Kalesha Uneek Presswood | Behavior Technician | 5361 Roswell Rd, Atlanta, GA 30034 | 2020-09-14 |
| 1447876768 | Rosemary Maines | Recreation Therapist | The Maines Group LLC Dba Maines Health and Wellness, 3461 Jessica Run, Decatur, GA 30034 | 2020-06-23 |
| 1437775764 | The Maines Group, LLC | Adult Companion | The Maines Group, LLC Dba Maines Health and Wellness, 3461 Jessica Run, Decatur, GA 30034 | 2020-06-23 |
| 1801351994 | Anthony E. Parrish, D.d.s., PC | Dentist | 3653 Flakes Mill Road, Suite E, Deactur, GA 30034 | 2019-02-04 |
| 1164916813 | Lenina O Chi-ukpai | Nurse Practitioner | 2942 Secretariat Ct, Decatur, GA 30034 | 2018-06-17 |
| 1154662765 | Zackery Kanel Thomas | Driver | 2782 Green Marsh Court, Decatur, GA 30034 | 2013-03-06 |
| 1033472642 | Lakeba Hibbler Williams | Counselor | 4147 Flat Shoals Pkwy, Decatur, GA 30034 | 2012-06-19 |
| 1164789632 | Foot Solutions of Georgia | Durable Medical Equipment & Medical Supplies | 3011 S Rainbow Dr, Suite 160, Decatur, GA 30034 | 2012-04-20 |
| 1699096172 | Wanda P Garrett | Social Worker | 3013 Rainbow Drive, Suite 112-e, South Dekalb Office Park, Decatur, GA 30034 | 2010-06-18 |
| 1245558022 | Teresa Behrend Fletcher | Counselor | 3915 Brookside Pkwy, Decatur, GA 30034 | 2010-05-04 |
| Find all providers in zip 30034 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699372771 | The Medicine Shoppe | Pharmacy | 2006 Danville Rd Sw Ste C, Decatur, AL 35601-4640 | 2020-10-02 |
| 1760990246 | 2136 Total Pharmacy LLC | Pharmacy | 2136 Candler Rd, Decatur, GA 30032-5572 | 2018-01-18 |
| 1336527217 | Med Rx Pharmacy Inc | Pharmacy | 4153 Flat Shoals Pkwy Ste 106, Decatur, GA 30034-4106 | 2015-05-12 |
| 1093108805 | Solaris Pharmacy | Pharmacy | 1308 E Old Chico Rd, Decatur, TX 76234-3405 | 2015-03-18 |
| 1306243605 | Rxmtm Consultants LLC | Pharmacy | 3164 Glenwood Rd, Decatur, GA 30032-4155 | 2014-12-02 |
| 1952704892 | Wal-mart Stores Inc | Pharmacy | 154 E Roller Ave, Decatur, AR 72722-9446 | 2014-10-07 |
| 1528495660 | National Prescription | Pharmacy | 2107 N Decatur Rd Ste 190, Decatur, GA 30033-5305 | 2013-10-03 |
| 1760723878 | Gfpi L.L.C. - Guice Pharmacy | Pharmacy | 1416 6th Ave Se Unit D, Decatur, AL 35601-4247 | 2013-03-14 |
| 1851666069 | Sondial Pharmacy, LLC | Pharmacy | 1428 Scott Blvd Ste C, Decatur, GA 30030-1424 | 2012-03-21 |
| 1295045573 | Genoa Healthcare, LLC | Pharmacy | 151 N Main St Rm 332, Decatur, IL 62523-1206 | 2010-10-20 |
| Find all providers in DECATUR | ||||
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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.