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GEORGIA CVS PHARMACY LLC NPI 1801153093


NPI Information

NPI: 1801153093
Provider Name: GEORGIA CVS PHARMACY LLC

Doing Business As: CVS PHARMACY # 10043

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 11D2223518

Address:
235 PEACHTREE ST NE
ATLANTA, GA
ZIP 30303
Phone: (404) 577-4054
Get Directions

GEORGIA CVS PHARMACY LLC 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 LLC NPI is 1801153093. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmacy # 10043.

The provider's business location address is:

235 PEACHTREE ST NE
ATLANTA, GA
ZIP 30303-401
Phone: (404) 577-4054

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) 770-2751.

The CLIA number assigned to this NPI record is 11D2223518 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/12/2012 and was last updated on 12/18/2012.


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
1332B00000XDurable Medical Equipment & Medical SuppliesGEORGIANo
23336C0003XPharmacyCommunity/Retail PharmacyGEORGIANo
3333600000XPharmacyGEORGIAYes

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
11162279OTHERGEORGIANCPDP
2202G738984MEDICARE PINGEORGIA
3003126065AMEDICAIDGEORGIA

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

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