BUDD TERRACE PHARMACY NPI 1255683843

NPI Information

  • NPI: 1255683843
  • Provider Name: BUDD TERRACE PHARMACY
  • Classification: Pharmacy - 3336L0003X
  • Specialization: Long Term Care Pharmacy
  • Entity Type: Organization
  • CLIA Number: 11D0677698
  • Address: 1833 CLIFTON RD NE
    ROOM 115
    ATLANTA, GA
    ZIP 30329
  • Phone: (404) 728-6807

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NPI Details

BUDD TERRACE PHARMACY is a long term care pharmacy pharmacy in Atlanta, 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. BUDD TERRACE PHARMACY NPI is 1255683843. The provider is registered as an organization entity type.

The provider's business location address is:

1833 CLIFTON RD NE
ROOM 115
ATLANTA, GA
ZIP 30329-021
Phone: (404) 728-6807

The provider's authorized official is Michael Hanichen .
The authorized official title is Director Of Pharmacy and has the following contact phone number (404) 728-6807.

The CLIA number assigned to this NPI record is 11D0677698 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/8/2012 and was last updated on 10/8/2012.

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
13336L0003XPharmacyLong Term Care PharmacyPHRE009863GEORGIAYes

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
1PHRE009863OTHERGEORGIAGEORGIA BOARD OF PHARMACY
2FB3481998OTHERCONTROLLED SUBSTANCE REGISTRATION CERTIFICATE

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: 11/21/2025

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