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SSC AFFILIATES INC NPI 1588774392


NPI Information

NPI: 1588774392
Provider Name: SSC AFFILIATES INC

Doing Business As: SHEPHERD APOTHECARY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
2020 PEACHTREE RD NW
ATLANTA, GA
ZIP 30309
Phone: (404) 350-7743
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SSC AFFILIATES INC is a community/retail pharmacy pharmacy in Atlanta, GA. The provider is 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. SSC AFFILIATES INC NPI is 1588774392. The provider is registered as an organization entity type.
The provider Is Doing Business As Shepherd Apothecary.

The provider's business location address is:

2020 PEACHTREE RD NW
ATLANTA, GA
ZIP 30309-426
Phone: (404) 350-7743
Fax: (404) 350-7514

The provider's authorized official is Christopher Paul Mcgourk .
The authorized official title is Manager and has the following contact phone number (404) 350-7743.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 2/22/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesPHRE005987GEORGIANo
23336C0003XPharmacyCommunity/Retail PharmacyPHRE005987GEORGIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000248069CMEDICAIDGEORGIA
21157140001MEDICARE ID-TYPE UNSPECIFIEDGEORGIA
3000498154AMEDICAIDGEORGIA
400248069BMEDICARE ID-TYPE UNSPECIFIEDGEORGIA

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: 4/28/2024

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