OLD NORCROSS ROAD PHARMACY LLC


Address: 558 Old Norcross Rd, Suite 201, Lawrenceville, GA 30046-4385
Phone: 7706828622

OLD NORCROSS ROAD PHARMACY LLC (NPI# 1174852966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174852966
Entity Type Organization
Organization Name OLD NORCROSS ROAD PHARMACY LLC
Other Organization Name OLD NORCROSS ROAD PHARMACY
Practice Address 558 Old Norcross Rd
Suite 201
Lawrenceville
GA 30046-4385
Practice Telephone 7706828622
Practice Fax Number 7706828623
Mailing Telephone 7706828622
Mailing Fax Number 7706828623
Enumeration Date 2009-12-08
Last Update Date 2010-08-10
Authorized Official Name LINUS IGBOKWE (DIRECTOR/ OWNER)
Authorized Official Telephone 7706828622
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
PHRE009621 GA Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
NCPDP PROVIDER IDENTIFICATION NUMBER 1159424 01

Other Provider/Organization Names

Other Name Type Code
Old Norcross Road Pharmacy Doing Business As Name - Organization

Office Location

Street Address 558 OLD NORCROSS RD
SUITE 201
City LAWRENCEVILLE
State GA
Zip Code 30046-4385

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Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
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: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235649716 Lawrenceville Community Pharmacy, Inc Pharmacy 3157 Sugarloaf Pkwy Ste 103, Lawrenceville, GA 30045-9490 2017-10-10
1013447044 Pharmacy Investments of Lawrenceville, LLC Pharmacy 738 Old Norcross Road, Ste A, Lawrenceville, GA 30046 2017-06-13
1912260555 Neighbourhood Pharmacy LLC Pharmacy 150 Hurricane Shoals Rd Nw Ste G, Lawrenceville, GA 30046-4115 2012-06-19
1497011860 Elle's Pharmacy Pharmacy 150 Hurricane Shoals Rd Nw, Suite G, Lawrenceville, GA 30046-4115 2012-04-10
1023389046 Lawrenceville Discount Pharmacy LLC Pharmacy 905 Parkside Walk Ln Ste 108, Lawrenceville, GA 30043-7314 2012-01-23
1477637908 New Jersey Cvs Pharmacy LLC Pharmacy 2721 Brunswick Pike, Lawrenceville, NJ 08648-4106 2006-10-24
1063504652 New Jersey Cvs Pharmacy LLC Pharmacy 1900 Us Highway 1, Lawrenceville, NJ 08648-4604 2006-09-29
1336240159 Eckerd Corporation Pharmacy 1097 Duluth Hwy, Lawrenceville, GA 30043-7310 2006-09-26
1114026382 Eckerd Corporation Pharmacy 605 Highway 20 S, Lawrenceville, GA 30045-6333 2006-09-22
1013010784 Highland Park Cvs, L.L.C. Pharmacy 1421 State St, Lawrenceville, IL 62439-1958 2006-09-07
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Competitor

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City LAWRENCEVILLE
Zip Code 30046

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Dataset Information

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.

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