PRUITTHEALTH PHARMACY SERVICES - ATLANTA, INC. (NPI# 1962547992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962547992 |
| Entity Type | Organization |
| Organization Name | PRUITTHEALTH PHARMACY SERVICES - ATLANTA, INC. |
| Other Organization Name | PRUITTHEALTH PHARMACY SERVICES - ATLANTA |
| Practice Address |
1626 Jeurgens Ct Norcross GA 30093-2219 |
| Mailing Address |
1626 Jeurgens Ct Suite A Norcross GA 30093-2219 |
| Practice Telephone | 6785336459 |
| Practice Fax Number | 7709315253 |
| Mailing Telephone | 6785336459 |
| Mailing Fax Number | 7709315253 |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2016-01-06 |
| Authorized Official Name | NEIL L PRUITT JR. (CHAIRMAN & CEO) |
| Authorized Official Telephone | 7702796200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
PHRE009153 | GA | Suppliers |
| Y | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
PHRE009153 | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2119656 | 01 | |
| GA | 295907416A | 05 |
| Other Name | Type Code |
|---|---|
| PruittHealth Pharmacy Services - Atlanta | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346385333 | Pruitthealth Pharmacy Services - Atlanta, Inc. | Pharmacy | 1626 Jeurgens Ct, Suite A, Norcross, GA 30093-2219 | 2007-02-20 |
| Street Address |
1626 JEURGENS CT |
| City | NORCROSS |
| State | GA |
| Zip Code | 30093-2219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316985336 | Pruitthealth Hospice, Inc. | Hospice Care, Community Based | 1626 Jeurgens Ct, Norcross, GA 30093-2219 | 2006-06-02 |
| 1669097895 | Kedy Ernst Jean-louis | Social Worker | 1626 Jeurgens Ct, Norcross, GA 30093-2219 | 2020-06-12 |
| 1821645748 | Nikki Reed | Nurse Practitioner | 1626 Jeurgens Ct, Norcross, GA 30093-2219 | 2019-08-26 |
| 1447719711 | Nassifatou Bakary | Nurse Practitioner | 1626 Jeurgens Ct, Norcross, GA 30093-2219 | 2019-03-17 |
| 1831693746 | Michelle Doolittle | Registered Nurse | 1626 Jeurgens Ct, Norcross, GA 30093-2219 | 2018-03-23 |
| 1043676299 | Pruitthealth Physicians Services, LLC | Family Medicine | 1626 Jeurgens Ct, Norcross, GA 30093-2219 | 2016-01-04 |
| 1629441514 | Pruitthealth Therapy Services | Assisted Living Facility | 1626 Jeurgens Ct, Norcross, GA 30093-2219 | 2015-11-02 |
| 1063544427 | Pruitthealth Care Management, Inc. | Case Management | 1626 Jeurgens Ct, Norcross, GA 31602 | 2007-03-12 |
| 1346385333 | Pruitthealth Pharmacy Services - Atlanta, Inc. | Pharmacy | 1626 Jeurgens Ct, Suite A, Norcross, GA 30093-2219 | 2007-02-20 |
| 1871519629 | Margaret Anne White | Internal Medicine | 1626 Jeurgens Ct, Norcross, GA 30093-2219 | 2006-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517465 | Tequila Olivia Banks | Counselor | 8303 Dunleaf Arc Way Nw, Norcross, GA 30093 | 2020-10-27 |
| 1922643485 | Anthony Ervin | Case Manager/Care Coordinator | 6251 Smithpoint Dr. Bldg B, Peachtree Corners, GA 30093 | 2019-11-08 |
| 1164908885 | Marianne Altares | Speech-Language Pathologist | 1709 Oakbrook Lake Dr, Norcross, GA 30093 | 2018-07-16 |
| 1518480763 | Braces Now 14, LLC | Dentist | 4141 Steve Reynolds Blvd, Suite 2, Norcross, GA 30093 | 2017-07-19 |
| 1457802902 | Audrey Fernandes | Dentist | 4846 Jimmy Carter Blvd, Suite 203, Norcross, GA 30093 | 2016-10-19 |
| 1922456318 | Diana Lleras | Counselor | 6020 Dawson Bld Suite I, Norcross, GA 30093 | 2016-05-26 |
| 1376941500 | Katerine Velez | Counselor | 6020 Dawson Blvd., Siute I, Norcross, GA 30093 | 2014-12-22 |
| 1679979017 | Allison Ballay Donnelly | Speech-Language Pathologist | 1626 Jeurgens Ct., Norcross, GA 30093 | 2014-11-12 |
| 1588913701 | Sunrise Pharmacy | Pharmacy | 1235 Indian Trail Rd, Suite 200a, Norcross, GA 30093 | 2012-09-04 |
| 1821347154 | Shakirah Forde | Counselor | 1770 Indian Trail Lilburn Rd Ste 120, Norcross, GA 30093 | 2012-08-31 |
| Find all providers in zip 30093 | ||||
| Taxonomy Code | 3336H0001X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Home Infusion Therapy Pharmacy |
| Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance. |
| Notes: Source: National Home Infusion Association [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851721047 | Advanced Home Care Inc | Pharmacy | 5901 Goshen Springs Rd, Ste G, Norcross, GA 30071 | 2013-11-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487990271 | Citadel Infusion Services LLC | Pharmacy | 2121 New Market Pkwy Se Ste 126, Marietta, GA 30067-9309 | 2012-12-24 |
| 1386876597 | Appalachian Home Infusion LLC | Pharmacy | 14 Sammy Mcghee Blvd Ste 103, Jasper, GA 30143-7722 | 2009-08-20 |
| 1275785743 | Pharmaceutical Specialties Inc | Pharmacy | 958 Mcever Rd, Suite B-8, Gainesville, GA 30504-3972 | 2008-10-16 |
| 1780293035 | The Hospital Authority of Miller County | Pharmacy | 213 Delores Street, Colquitt, GA 39837 | 2020-07-23 |
| 1316463417 | Hemogen Rx LLC | Pharmacy | 84 Helen Hwy, Cleveland, GA 30528 | 2017-08-21 |
| 1558510891 | Hamilton Medical Center Inc | Pharmacy | 1200 Memorial Dr, Dalton, GA 30720-2529 | 2008-09-11 |
| 1770762304 | Walker Home Medical | Pharmacy | 1100 Eisenhower Dr, Ste 19, Savannah, GA 31406-3923 | 2007-10-31 |
| 1932326402 | Health Tech Innovations | Pharmacy | 212 Northside Dr, Valdosta, GA 31602-1858 | 2007-04-19 |
| 1497894497 | 1st America Health Services, Inc. | Pharmacy | 212 Northside Dr, Valdosta, GA 31602-1858 | 2007-02-06 |
| 1801935259 | Walker Home Medical | Pharmacy | 100 Brampton Ave, Ste 1f, Statesboro, GA 30458-0827 | 2007-02-05 |
| 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.