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GEORGIA CVS PHARMACY L.L.C. NPI 1326141151


NPI Information

NPI: 1326141151
Provider Name: GEORGIA CVS PHARMACY, L.L.C.

Doing Business As: CVS PHARMACY #04661

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 11D2255874

Address:
2555 BOLTON RD NW
ATLANTA, GA
ZIP 30318
Phone: (404) 355-8855
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GEORGIA CVS PHARMACY, L.L.C. is a pharmacy in Atlanta, GA. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. GEORGIA CVS PHARMACY, L.L.C. NPI is 1326141151. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmacy #04661.

The provider's business location address is:

2555 BOLTON RD NW
ATLANTA, GA
ZIP 30318-322
Phone: (404) 355-8855

The provider's authorized official is Susan F Colbert .
The authorized official title is Director, Payer Relations and has the following contact phone number (401) 770-7298.

The CLIA number assigned to this NPI record is 11D2255874 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/7/2006 and was last updated on 10/21/2011.


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
13336C0003XPharmacyCommunity/Retail PharmacyNo
2332B00000XDurable Medical Equipment & Medical SuppliesNo
3333600000XPharmacy005564GEORGIAYes

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
11133696OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
25754010137MEDICARE NSC
3000388429BMEDICAIDGEORGIA
4P00962782MEDICARE PINGEORGIA
5202G738984MEDICARE PIN

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

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.