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GEORGIA CVS PHARMACY L.L.C. NPI 1275636029

NPI Profile

NPI: 1275636029
Provider Name: GEORGIA CVS PHARMACY, L.L.C.

Doing Business As: CVS PHARMACY #04684

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
4037 GLENWOOD RD
DECATUR, GA
ZIP 30032
Get Directions

Phone: (404) 288-4881

GEORGIA CVS PHARMACY, L.L.C. is a pharmacy in Decatur, GA. The provider is 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. GEORGIA CVS PHARMACY, L.L.C. NPI is 1275636029. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmacy #04684.

The provider's business location address is:

4037 GLENWOOD RD
DECATUR, GA
ZIP 30032-616
Phone: (404) 288-4881

The provider's authorized official is Susan F Colbert .
The authorized official title is Director, Payer Relations and has the following contact phone number (401) 770-2751.

The enumeration date for this NPI number is 9/7/2006 and was last updated on 10/24/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0003XPharmacyCommunity/Retail PharmacyNo
2332B00000XDurable Medical Equipment & Medical SuppliesNo
3333600000XPharmacy003583GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000389056BMEDICAIDGEORGIA
25754010123MEDICARE NSC
3202G738984MEDICARE PIN
4P00962782MEDICARE PINGEORGIA
51133987OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 7/9/2020

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.