COMMUNITY ANCILLARY SERVICES INC. NPI 1235121617

NPI Information

  • NPI: 1235121617
  • Provider Name: COMMUNITY ANCILLARY SERVICES, INC.
  • Classification: Pharmacy - 3336L0003X
  • Specialization: Long Term Care Pharmacy
  • Entity Type: Organization
  • Doing Business As: ELDERCARE PHARMACY
  • Address: 4769 S MAIN ST
    ACWORTH, GA
    ZIP 30101
  • Phone: (770) 974-4277

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NPI Details

COMMUNITY ANCILLARY SERVICES, INC. is a long term care pharmacy pharmacy in Acworth, GA. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. COMMUNITY ANCILLARY SERVICES, INC. NPI is 1235121617. The provider is registered as an organization entity type.
The provider Is Doing Business As Eldercare Pharmacy.

The provider's business location address is:

4769 S MAIN ST
ACWORTH, GA
ZIP 30101-339
Phone: (770) 974-4277
Fax: (770) 974-4208

The provider's authorized official is James Lee .
The authorized official title is Senior Vice President and has the following contact phone number (478) 783-1515.

The enumeration date for this NPI number is 8/22/2005 and was last updated on 3/11/2021.

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
23336L0003XPharmacyLong Term Care PharmacyPHRE008075GEORGIAYes

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
12020178OTHERPK
200811478AMEDICAIDGEORGIA

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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