SPECIALTY PHARMACY & COMPOUNDING (NPI# 1184951337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184951337 |
Entity Type | Organization |
Organization Name | SPECIALTY PHARMACY & COMPOUNDING |
Practice Address |
650 Henderson Dr Suite 508 Cartersville GA 30120-3744 |
Practice Telephone | 7706073455 |
Practice Fax Number | 7706073457 |
Mailing Telephone | 7706073455 |
Mailing Fax Number | 7706073457 |
Enumeration Date | 2009-11-09 |
Last Update Date | 2009-11-09 |
Authorized Official Name | KEVIN CALLOSOE (SECRETARY) |
Authorized Official Telephone | 7705966998 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 333600000X | Pharmacy | PHRE009616 | GA | Suppliers |
N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHRE009616 | GA | Suppliers |
Y | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
PHRE009616 | GA | Suppliers |
Street Address |
650 HENDERSON DR SUITE 508 |
City | CARTERSVILLE |
State | GA |
Zip Code | 30120-3744 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851460844 | Michele Sperl | Physical Therapist | 650 Henderson Dr, Cartersville, GA 30120-3744 | 2006-11-06 |
1932666468 | Amna Khan | Counselor | 650 Henderson Dr, Cartersville, GA 30120-3744 | 2019-02-20 |
1447631577 | Guardian Care Givers, LLC. | In Home Supportive Care | 650 Henderson Dr, Suite 423, Cartersville, GA 30120-3744 | 2015-06-15 |
1548516164 | Chn Healthy Clinic | Clinic/Center | 650 Henderson Dr, Suite 504, Cartersville, GA 30120-3744 | 2012-08-01 |
1235426909 | Corey M Gibson | Physical Therapist | 650 Henderson Dr, Cartersville, GA 30120-3744 | 2011-07-01 |
1336372424 | Pamela Anita Bridgeman | Counselor | 650 Henderson Dr, Suite 430, Cartersville, GA 30120-3744 | 2009-08-24 |
1467620492 | Larcie L Richardson | Physical Therapist | 650 Henderson Dr, Cartersville, GA 30120-3744 | 2008-02-12 |
1518148725 | Andwele M Jolly | Physical Therapist | 650 Henderson Dr, Cartersville, GA 30120-3744 | 2007-11-15 |
1508087222 | Emily Yake | Physical Therapist | 650 Henderson Dr, Suite 301, Cartersville, GA 30120-3744 | 2007-05-01 |
1831220045 | Robin Lee Buchkowski | Chiropractor | 650 Henderson Dr, Suite 109, Cartersville, GA 30120-3744 | 2007-03-08 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295357325 | Rhonda Ireland | Pharmacist | 125 Main Street Marketplace, Cartersville, GA 30120 | 2020-05-12 |
1538719273 | The Golden Ages Corporoation | Nursing Care | 41 Walden Crossing, Cartrsville, GA 30120 | 2019-09-15 |
1932752391 | Jennifer Elaine Mclaurin | Counselor | 911 N. Tennesse Street, Suite 107, Cartersville, GA 30120 | 2019-07-24 |
1164989497 | Kayla Elizabeth Hoskins | Occupational Therapist | 7 E Cherokee Ave, Cartersville, GA 30120 | 2019-02-22 |
1942785837 | Adriane L Alexander | Social Worker | 24 Meadowbridge Drive, Cartersville, GA 30120 | 2018-09-26 |
1306329362 | Ashley Elizabeth Deal | Nurse Practitioner | 958a Joe Frank Harris Parkway, Suite 101, Cartersville, GA 30120 | 2018-09-14 |
1376037606 | Samuel Gilreath Tumlin | Dentist | 701 N. Tennessee St., Cartersville, GA 30120 | 2018-06-20 |
1437669108 | Deborah Susan Luper | Counselor | 106 Forrest Avenue, A Healing Place, Cartersville, GA 30120 | 2017-10-06 |
1750810693 | Debbie Fearon | Registered Nurse | 523 Mountain Chase, Cartersville, GA 30120 | 2017-06-05 |
1023486388 | Amanda Stanley | Pharmacist | 1150 West Ave, Cartersville, GA 30120 | 2015-09-03 |
Find all providers in zip 30120 |
Taxonomy Code | 3336S0011X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Specialty Pharmacy |
A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration. |
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] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720093354 | First Pharmacy West Inc | Pharmacy | 75 Douthit Ferry Rd, Cartersville, GA 30120-4098 | 2006-07-30 |
1861717068 | West End Rx | Pharmacy | 824 West Ave, Cartersville, GA 30120-6100 | 2010-03-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679195606 | Tmc Villa Rica Hospital, Inc | Pharmacy | 157 Clinic Ave Ste 202, Room 219, Carrollton, GA 30117-4454 | 2020-05-13 |
1346775194 | Sahajanand Swami LLC | Pharmacy | 2579 Lawrenceville Hwy Ste A, Decatur, GA 30033-3206 | 2017-04-28 |
1689052326 | Pharmworks Group LLC | Pharmacy | 1860 Memorial Dr Se, Atlanta, GA 30317 | 2015-05-14 |
1912317660 | Ms-rx LLC | Pharmacy | 3200 Downwood Cir Nw Ste 430a, Atlanta, GA 30327-1659 | 2014-05-04 |
1427486554 | Intouch Pharmacy LLC | Pharmacy | 75 Elliott Rd, Suite 240, Dawsonville, GA 30534-8901 | 2013-10-29 |
1295174407 | Mei Services, Inc | Pharmacy | 2951 Piedmont Rd Ne, Suite B, Atlanta, GA 30305-2787 | 2013-06-20 |
1336323567 | Compounding Specialists At Lake Oconee Inc | Pharmacy | 1110 Commerce Dr Ste 110, Greensboro, GA 30642-7444 | 2007-12-24 |
1629162847 | Longs Drugs Inc | Pharmacy | 433 W Hill St, Thomson, GA 30824-2116 | 2006-10-03 |
1982713566 | Lacey Drug Company Inc | Pharmacy | 790 Church St Ne Ste 210, Marietta, GA 30060-8950 | 2006-08-29 |
1992720221 | Maddens Pharmacy Inc | Pharmacy | 101 College Ave, Elberton, GA 30635-1705 | 2006-07-13 |
Find all providers with the same taxonomy |
City | CARTERSVILLE |
Zip Code | 30120 |
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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.