CTCA RX LLC NPI 1093211005

NPI Information

  • NPI: 1093211005
  • Provider Name: CTCA RX, LLC
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Doing Business As: CTCA/RX
  • Address: 610 CELEBRATE LIFE PKWY
    NEWNAN, GA
    ZIP 30265
  • Phone: (678) 552-2013

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NPI Details

CTCA RX, LLC is a community/retail pharmacy pharmacy in Newnan, 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. CTCA RX, LLC NPI is 1093211005. The provider is registered as an organization entity type.
The provider Is Doing Business As Ctca/rx.

The provider's business location address is:

610 CELEBRATE LIFE PKWY
NEWNAN, GA
ZIP 30265-001
Phone: (678) 552-2013
Fax: (817) 720-1039

The provider's authorized official is Tammie Miskimins .
The authorized official title is Senior Manager and has the following contact phone number (817) 572-0009.

The enumeration date for this NPI number is 3/30/2018 and was last updated on 3/30/2018.

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
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail PharmacyPHRE010615GEORGIAYes
33336S0011XPharmacySpecialty PharmacyNo

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
12176770OTHERPK

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: 3/30/2025

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