GEORGIA CVS PHARMACY L L C (NPI# 1164883757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164883757 |
| Entity Type | Organization |
| Organization Name | GEORGIA CVS PHARMACY L L C |
| Other Organization Name | CVS PHARMACY #10865 |
| Practice Address |
170 West Broad St Athens GA 30601-2815 |
| Mailing Address |
1 Cvs Dr Woonsocket RI 02895-6146 |
| Practice Telephone | 7065467476 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2016-03-10 |
| Last Update Date | 2016-07-22 |
| Authorized Official Name | SUSAN COLBERT (SR DIRECTOR PAYER RELATIONS) |
| Authorized Official Telephone | 4017651500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | GA | Suppliers | |
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
GA | Suppliers | |
| Y | 333600000X | Pharmacy | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | NCPDP | 1168308 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY #10865 | Doing Business As Name - Organization |
| Street Address |
170 WEST BROAD ST |
| City | ATHENS |
| State | GA |
| Zip Code | 30601-2815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154971679 | Classic City Counseling & Consultation LLC | Psychologist | 159 Oneta St., Unit 1a Suite 7, Athens, GA 30601 | 2019-09-17 |
| 1982172433 | Smith Dental Care of Athens Inc. | Clinic/Center | 801 Us Highway 29 North, Athens, GA 30601 | 2018-11-02 |
| 1356865935 | Elizabeth Anne Price | Pharmacist | 9249 Hwy 29, Athens Community Based Outpatient Va Clinic, Athens, GA 30601 | 2017-07-26 |
| 1386011575 | Janna Barham Cleveland | Nurse Practitioner | 496 Reese Street, Athens, GA 30601 | 2015-08-24 |
| 1295113769 | Brent Dillin Temple | Case Manager/Care Coordinator | 9249 Highway 29 North, Athens, GA 30601 | 2015-05-15 |
| 1356736417 | Brett Magner | Family Medicine | 855 W Broad St Ste 1, Athens, GA 30601 | 2015-04-05 |
| 1619397478 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 700 Highway 29 N, Athens, GA 30601 | 2014-04-21 |
| 1972921021 | Issa Papiss Bagayogo | Psychiatry & Neurology | 297 Prince Avenue Suite 28a, Athens, GA 30601 | 2014-04-04 |
| 1447682083 | Brittany Lynn Lowery | Counselor | 250 Bray Street, Athens, GA 30601 | 2013-08-06 |
| 1417194135 | Carey Kirk | Counselor | 295 Mles St, Athens, GA 30601 | 2009-01-16 |
| Find all providers in zip 30601 | ||||
| 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 |
|---|---|---|---|---|
| 1962064337 | Star Valley Pharmacy | Pharmacy | 4 E Washington Ave Ste 200, Athens, TN 37303-3674 | 2019-07-05 |
| 1437690567 | Gleason Pharmacy Services Inc | Pharmacy | 214 Abe Lincoln Dr Unit 2, Athens, IL 62613-7800 | 2017-03-08 |
| 1427325067 | Kaiser Foundation Health Plan of Georgia Inc | Pharmacy | 2142 W Broad St Bldg 200, Athens, GA 30606-3509 | 2011-11-28 |
| 1629394820 | Board of Regents of The University System of Georgia | Pharmacy | Uga College of Pharmacy, 240 Green Street, Athens, GA 30602-0001 | 2010-04-13 |
| 1073678405 | Buy Wise Drugs Inc | Pharmacy | 740 N Chase St, Athens, GA 30601-1902 | 2006-12-26 |
| 1386705150 | Athens Pharmacy Inc | Pharmacy | 106 S Capital Ave, Athens, MI 49011-5102 | 2006-12-13 |
| 1639242100 | Brookshire Grocery Company | Pharmacy | 807 E Tyler St, Attention Pharmacy Dept, Athens, TX 75751-2139 | 2006-11-15 |
| 1235201013 | Hansford Pharmacy Services LLC | Pharmacy | 1135 Cedar Shoals Dr, Bldg 6 Suite A, Athens, GA 30605-5299 | 2006-11-15 |
| 1588757694 | Southern Family Markets LLC | Pharmacy | 4025 Lexington Rd, Athens, GA 30605-2527 | 2006-10-02 |
| 1679666788 | Southern Family Markets LLC | Pharmacy | 625 Athens Town Center, Athens, AL 35611 | 2006-10-02 |
| Find all providers in ATHENS | ||||
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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.