GEORGIA CVS PHARMACY LLC (NPI# 1215959002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215959002 |
| Entity Type | Organization |
| Organization Name | GEORGIA CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY #16785 |
| Practice Address |
3065 Atlanta Hwy Athens GA 30606-3334 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 7065488656 |
| Practice Fax Number | 7065488656 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2016-10-17 |
| Authorized Official Name | SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS) |
| Authorized Official Telephone | 4017702751 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHRE010220 | GA | Suppliers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2015463 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #16785 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548504343 | Georgia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 441 Fair Rd, Statesboro, GA 30458-4913 | 2012-11-16 |
| 1528302403 | Georgia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1520 Avenue Pl, Suite B-100, Atlanta, GA 30329-4015 | 2012-11-16 |
| 1710232913 | Georgia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 5900 Watson Blvd, Warner Robins, GA 31093-8669 | 2012-07-13 |
| 1811256605 | Georgia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3674 Highway 5, Douglasville, GA 30135-2364 | 2012-05-14 |
| 1447528039 | Georgia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1680 Old Pendergrass Rd, Jefferson, GA 30549-2701 | 2011-12-09 |
| 1437458593 | Georgia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3595 Atlanta Hwy, Athens, GA 30606-3152 | 2011-03-15 |
| 1174771521 | Georgia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 5570 Roswell Rd, Sandy Springs, GA 30342-1861 | 2008-08-28 |
| 1083875173 | Georgia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 13055 Highway 9 N, Milton, GA 30004-5137 | 2008-06-20 |
| 1881870806 | Georgia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 5865 Spout Springs Rd, Flowery Branch, GA 30542-3448 | 2008-01-22 |
| 1033303961 | Georgia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 5950 State Bridge Rd, Duluth, GA 30097-6438 | 2007-09-04 |
| Street Address |
3065 ATLANTA HWY |
| City | ATHENS |
| State | GA |
| Zip Code | 30606-3334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427536739 | Cashin Davis | Pharmacist | 3065 Atlanta Hwy, Athens, GA 30606-3334 | 2018-07-30 |
| 1801249313 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 3065 Atlanta Hwy, Athens, GA 30606-3334 | 2016-07-20 |
| 1649681974 | Timothy Costyn | Pharmacist | 3065 Atlanta Hwy, Athens, GA 30606-3334 | 2014-05-08 |
| 1457600595 | Julie Bradford Martin | Pharmacist | 3065 Atlanta Hwy, Athens, GA 30606-3334 | 2012-09-05 |
| 1801171913 | Quyen Williams | Pharmacist | 3065 Atlanta Hwy, Athens, GA 30606-3334 | 2011-10-20 |
| 1801181409 | James Theodore Chaffin Jr. | Pharmacist | 3065 Atlanta Hwy, T1453, Athens, GA 30606-3334 | 2011-06-13 |
| 1275827370 | Thomas Schoenbachler | Pharmacist | 3065 Atlanta Hwy, Athens, GA 30606-3334 | 2011-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942816962 | Kofi Darkwa Seffah | Student in an Organized Health Care Education/Training Program | 1199 Prince Ave #70, 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-09-16 |
| 1831712363 | Rebecca John | Licensed Practical Nurse | 240 Mitchel Bridge Road, Athens, GA 30606 | 2020-05-19 |
| 1497375612 | Alfred Ka-shing Wong | Student in an Organized Health Care Education/Training Program | 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-04-17 |
| 1881223956 | Lauren Fesperman | Nurse Practitioner | 242 King Ave Ste 130, Athens, GA 30606 | 2020-04-02 |
| 1255966081 | Westminster Presbyterian Homes, Inc. | Skilled Nursing Facility | 1400 Live Oak Ln, Building 100, Athens, GA 30606 | 2020-03-12 |
| 1255981700 | Carol Cameron Cready-pyle | Social Worker | 1551 Jennings Mill Pkwy Ste 1700, Athens, GA 30606 | 2019-09-17 |
| 1013576016 | Lauren Gruendling | Nurse Practitioner | 242 King Avenue, Suite 210, Athens, GA 30606 | 2019-06-12 |
| 1760045223 | Dominic Ofosu Amakye | Student in an Organized Health Care Education/Training Program | 1270 Prince Avenue Suite 201, Athens, GA 30606 | 2019-04-19 |
| 1740740422 | Juan G Salazar Castillo | Student in an Organized Health Care Education/Training Program | Community Internal Medicine of Athens, 1500 Oglethorpe Ave Suite 200d, Athens, GA 30606 | 2019-03-20 |
| 1750869020 | Jennifer Emily Chapman | Physical Therapist | 1021 Parkway Blvd Ste 101, Athens, GA 30606 | 2018-07-30 |
| Find all providers in zip 30606 | ||||
| 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.