CONCORD INC (NPI# 1023050804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023050804 |
| Entity Type | Organization |
| Organization Name | CONCORD INC |
| Other Organization Name | RIVERSIDE DRUGS |
| Practice Address |
97 Hefner St Ste 200 East Ellijay GA 30540-8268 |
| Practice Telephone | 7066355151 |
| Practice Fax Number | 7066355152 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MARVIN MCCORD (OWNER) |
| Authorized Official Telephone | 7706710657 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 333600000X | Pharmacy | PHRE004771 | GA | Suppliers |
| X | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 1121475 | 01 |
| Other Name | Type Code |
|---|---|
| RIVERSIDE DRUGS | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912921529 | Concord Inc | Pharmacy | 601 A Professional Drive, Suite 170, Atlanta, GA 30045 | 2006-07-27 |
| 1891719159 | Concord Inc | Pharmacy | 5484 Chamblee Dunwoody Rd, Dunwoody, GA 30338-4133 | 2006-07-27 |
| 1376863639 | Concord Inc | Pharmacy | 771 Old Norcross Rd, Suite 100, Lawrenceville, GA 30046-4386 | 2010-06-09 |
| 1972519106 | Concord Inc | Pharmacy | 993-d Johnson Ferry Rd, Suite 230, Atlanta, GA 30342 | 2006-07-31 |
| 1255355855 | Concord Inc | Pharmacy | 2500 Hospital Blvd, Suite 300, Roswell, GA 30076 | 2006-07-27 |
| 1144244740 | Concord Inc | Pharmacy | 550 Peachtree St Ne, Ste 1450, Atlanta, GA 30308 | 2006-07-27 |
| 1144244757 | Concord Inc | Pharmacy | 3890 Johns Creek Pkwy, Ste 160, Suwanee, GA 30024 | 2006-07-27 |
| 1982628590 | Concord Inc | Pharmacy | 1700 Hospital South Drive, Suite 101, Austell, GA 30001 | 2006-07-27 |
| 1801810155 | Concord Inc | Pharmacy | 5555 Peachtree Dunwoody Rd, Atlanta, GA 30350 | 2006-07-27 |
| 1114941663 | Concord Inc | Pharmacy | 960 Johnson Ferry Rd Ne, Ste 145, Atlanta, GA 30342-1631 | 2006-07-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | CONCORD INCUBATOR LLC | 30 Monument Sq., Concord, MA 01742-0000 |
| Street Address |
97 HEFNER ST STE 200 |
| City | EAST ELLIJAY |
| State | GA |
| Zip Code | 30540-8268 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154325678 | Justin Shurley | Physical Therapist | 97 Hefner St, Ste 100, East Ellijay, GA 30540-8260 | 2005-06-13 |
| 1053735761 | Digestive Healthcare of Ga, P.C. | Specialist | 97 Hefner St, Suite 203, East Ellijay, GA 30540-8268 | 2014-02-17 |
| 1407140098 | Tan D. Nguyen | Physician Assistant | 97 Hefner St, Suite 202, East Ellijay, GA 30540-8268 | 2011-06-01 |
| 1699085886 | North Georgia Physical Therapy | Durable Medical Equipment & Medical Supplies | 97 Hefner St, Suite 100, East Ellijay, GA 30540 | 2010-10-21 |
| 1396069282 | Dale Lingle | Pharmacist | 97 Hefner St, Ste 200, East Ellijay, GA 30540-8268 | 2010-03-21 |
| 1588815674 | Islam G Eltarawy | Family Medicine | 97 Hefner St, Suite 202, East Ellijay, GA 30540-8268 | 2008-10-07 |
| 1841483823 | Asim Kidwai | Family Medicine | 97 Hefner St, Suite 202, East Ellijay, GA 30540-8268 | 2007-08-22 |
| 1790873651 | Crista Thoresen | Physical Therapist | 97 Hefner St, Suite 100, East Ellijay, GA 30540-8268 | 2006-10-10 |
| 1952496713 | Cardiac Disease Specialists, PC | Internal Medicine | 97 Hefner St, Ste 202, East Ellijay, GA 30540-8268 | 2006-10-04 |
| 1407802978 | Cardiovascular Imaging of North Georgia LLC | Internal Medicine | 97 Hefner St, Suite 102, East Ellijay, GA 30540-8260 | 2006-05-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760929517 | Sandi Lynn Harris | Pharmacist | 192 1st St, East Ellijay, GA 30540 | 2017-01-31 |
| 1194028688 | Heartlite Hospice Ellijay, Inc. | Hospice Care, Community Based | 163 Dalton Street, East Ellijay, GA 30540 | 2010-12-06 |
| 1972816874 | Nicole Penland Bond | Nurse Practitioner | 174 Highland Crossing East, East Ellijay, GA 30540 | 2010-07-20 |
| 1689994477 | Immediate Medcare, LLC | Clinic/Center | 174 Highland Crossing South, East Ellijay, GA 30540 | 2010-06-03 |
| 1316274830 | Huffs Select Care Clinic PC | Clinic/Center | 136-a Industrial Blvd, Ellijay, GA 30540 | 2009-11-04 |
| 1598924615 | Hospice Advantage, LLC. | Hospice Care, Community Based | 583 Highland Xing, Suite 120, East Ellijay, GA 30540 | 2008-06-04 |
| 1083891196 | Roy Elie Abrahamian | Internal Medicine | 309 Highland Pkwy Ste 200, East Ellijay, GA 30540 | 2008-01-31 |
| 1285817213 | Quality Respi-care Inc | Durable Medical Equipment & Medical Supplies | 97 Hefner St Ste 102, East Ellijay, GA 30540 | 2007-12-13 |
| 1275738163 | Jennifer Moss Houle | Technician, Other | 7 Depot Street, Ellijay, GA 30540 | 2007-06-19 |
| 1265633697 | Alicia S Lovelace | Specialist | 630 Blazing Star Rd, Ellijay, GA 30540 | 2007-05-31 |
| Find all providers in zip 30540 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| 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. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962779777 | Purvis Pharmacies, P.C. | Pharmacy | 97 Hefner St Ste 201, East Ellijay, GA 30540-8268 | 2011-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607662 | H & W Pharmacy | Pharmacy | 4091 Redan Rd Ste C, Stone Mountain, GA 30083-4767 | 2020-10-23 |
| 1720603756 | Medical-pharmacy Associates of Georgia, LLC | Pharmacy | 1425 Georgia Ave Ste 1, Macon, GA 31201-6546 | 2020-06-16 |
| 1700419454 | Janus Rx | Pharmacy | 836 E 65th St Ste 42, Savannah, GA 31405-4496 | 2020-02-20 |
| 1295373702 | Downtown Pharmacy LLC | Pharmacy | 236 Forsyth St Sw Ste 202b, Atlanta, GA 30303-3786 | 2019-12-16 |
| 1750928719 | Goodscript, Inc. | Pharmacy | 3115 Roswell Rd Ste 205, Marietta, GA 30062-7611 | 2019-12-09 |
| 1942844741 | Genoa Healthcare, LLC | Pharmacy | 400 Technology Ct Se Ste J, Room P, Smyrna, GA 30082-5237 | 2019-11-05 |
| 1225670995 | Allcare Pharmacy, LLC | Pharmacy | 1004 S Tennille Ave, Donalsonville, GA 39845 | 2019-10-14 |
| 1417598327 | Connect Care Pharmacy, LLC | Pharmacy | 2191 Hwy 247 Connector, Byron, GA 31008-5531 | 2019-10-02 |
| 1467003467 | Selamawit Dejene | Pharmacy | 464 Bishop St Nw Apt 336, Atlanta, GA 30318-5384 | 2019-09-23 |
| 1902454721 | Batts Drug Company Mansfield, LLC | Pharmacy | 4424 Highway 213, Mansfield, GA 30055-3211 | 2019-08-27 |
| Find all providers with the same taxonomy | ||||
| City | EAST ELLIJAY |
| Zip Code | 30540 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.