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BRASSTOWN PROFESSIONAL PHARMACY INC NPI 1730115619


NPI Information

NPI: 1730115619
Provider Name: BRASSTOWN PROFESSIONAL PHARMACY, INC
Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 11D2183871

Address:
23 MURPHY HWY STE B
BLAIRSVILLE, GA
ZIP 30512
Phone: (706) 745-2303
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BRASSTOWN PROFESSIONAL PHARMACY, INC is a community/retail pharmacy pharmacy in Blairsville, 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. BRASSTOWN PROFESSIONAL PHARMACY, INC NPI is 1730115619. The provider is registered as an organization entity type.

The provider's business location address is:

23 MURPHY HWY STE B
BLAIRSVILLE, GA
ZIP 30512-157
Phone: (706) 745-2303
Fax: (706) 745-2333

The provider's authorized official is Amy S Galloway .
The authorized official title is Owner and has the following contact phone number (706) 745-2303.

The CLIA number assigned to this NPI record is 11D2183871 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/23/2006 and was last updated on 2/3/2014.


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
1332B00000XDurable Medical Equipment & Medical Supplies8635GEORGIANo
2332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentD19680GEORGIANo
33336C0004XPharmacyCompounding Pharmacy8635GEORGIANo
4335E00000XProsthetic/Orthotic SupplierC22010GEORGIANo
53336C0003XPharmacyCommunity/Retail Pharmacy8635GEORGIAYes

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
14563730001MEDICARE NSCGEORGIA
200966996AMEDICAIDGEORGIA
37704128MEDICAIDNORTH CAROLINA
400966996BMEDICAIDGEORGIA
50116914MEDICAIDNORTH CAROLINA

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: 5/5/2024

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.