BUDD TERRACE PHARMACY (NPI# 1255683843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255683843 |
| Entity Type | Organization |
| Organization Name | BUDD TERRACE PHARMACY |
| Practice Address |
1833 Clifton Rd Ne Room 115 Atlanta GA 30329-4021 |
| Practice Telephone | 4047286807 |
| Enumeration Date | 2012-10-08 |
| Last Update Date | 2012-10-08 |
| Authorized Official Name | MICHAEL HANICHEN (DIRECTOR OF PHARMACY) |
| Authorized Official Telephone | 4047286807 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
PHRE009863 | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | GEORGIA BOARD OF PHARMACY | PHRE009863 | 01 |
| CONTROLLED SUBSTANCE REGISTRATION CERTIFICATE | FB3481998 | 01 |
| Street Address |
1833 CLIFTON RD NE ROOM 115 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30329-4021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952485989 | Wesley Woods Center of Emory University, Inc | Skilled Nursing Facility | 1833 Clifton Rd Ne, Atlanta, GA 30329-4021 | 2006-10-25 |
| 1285256016 | Melvin Oliver | Occupational Therapist | 1833 Clifton Rd Ne, Atlanta, GA 30329-4021 | 2020-05-14 |
| 1811392996 | Margaret Wood | Speech-Language Pathologist | 1833 Clifton Rd Ne, Atlanta, GA 30329-4021 | 2014-10-30 |
| 1417372483 | Elena Cabb | Internal Medicine | 1833 Clifton Rd Ne, Atlanta, GA 30329 | 2014-02-27 |
| 1780012971 | Caitlin H Stitt | Occupational Therapist | 1833 Clifton Rd Ne, Atlanta, GA 30329-4021 | 2013-10-24 |
| 1134555147 | Andrew Stephen Bir | Physical Therapy Assistant | 1833 Clifton Rd Ne, Atlanta, GA 30329-4021 | 2013-09-23 |
| 1922343136 | Sidrah Odom | Physical Therapy Assistant | 1833 Clifton Rd Ne, Atlanta, GA 30329-4021 | 2012-11-29 |
| 1063757342 | Lara Randle Dean | Speech-Language Pathologist | 1833 Clifton Rd Ne, Atlanta, GA 30329-4021 | 2012-11-28 |
| 1053655324 | Raoul J Roaquin | Physical Therapist | 1833 Clifton Rd Ne, Atlanta, GA 30329-4021 | 2012-11-26 |
| 1881938165 | Cristian Constantin | Physical Therapy Assistant | 1833 Clifton Rd Ne, Atlanta, GA 30329-4021 | 2012-11-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871084111 | Inner Peace Counseling Services,llc | Counselor | 2801 Bufford Highway, Suite T-10, Atlanta, GA 30329 | 2018-05-22 |
| 1912409392 | Joie De Vivre Counseling and Therapy | Counselor | 2801 Buford Highway, Ne, Atlanta, GA 30329 | 2018-03-01 |
| 1902329105 | Barbara Dunbar | Psychologist | 1777 Northeast Expressway, #175, Atlanta, GA 30329 | 2017-07-19 |
| 1114449048 | Cricket Cheyenne Gullickson | Student in an Organized Health Care Education/Training Program | 1371 Briarvista Way Ne, Atlanta, GA 30329 | 2017-07-12 |
| 1902357866 | Carla Zimmerly | Nurse Practitioner | 1711 Tullie Circle, Atlanta, GA 30329 | 2016-10-17 |
| 1316490808 | Shahzad Ghori | Student in an Organized Health Care Education/Training Program | 1727 Druid Oaks Ne, Atlanta, GA 30329 | 2016-08-01 |
| 1023467768 | Ashley Elliott | Physician Assistant | 59 Executive Park, Atlanta, GA 30329 | 2016-06-03 |
| 1285096115 | Kimberley Fox | Internal Medicine | 1600 Clifton Rd Ne, Ms A-04, Cdc, Atlanta, GA 30329 | 2016-03-21 |
| 1275991648 | Mary Patricia Joyce | Internal Medicine | 1600 Clifton Road, E-47, Centers for Disease Control and Prevention, Atlanta, GA 30329 | 2016-02-01 |
| 1346656618 | Amelia Muniz Hernandez | Pediatrics | 1841 Clifton Rd Ne # 508, Atlanta, GA 30329 | 2014-07-08 |
| Find all providers in zip 30329 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| 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 |
|---|---|---|---|---|
| 1205479771 | Welltree Pharmacy LLC | Pharmacy | 5009 Roswell Rd Ste 210, Atlanta, GA 30342-2205 | 2019-10-28 |
| 1285180711 | Vn Pharmacy LLC | Pharmacy | 5000 Buford Hwy, Suite A-106, Atlanta, GA 30341-3500 | 2016-08-25 |
| 1639258890 | Collier's Medicine On Time | Pharmacy | 5 Dunwoody Park Ste 102, Atlanta, GA 30338-6710 | 2006-11-06 |
| 1679658124 | Briarcliff Pharmacy Inc | Pharmacy | 2724 Clairmont Rd Ne, Atlanta, GA 30329-2760 | 2006-10-25 |
| 1770115339 | Express Food & Pharmacy LLC | Pharmacy | 50 Upper Alabama St Sw Ste 92, Atlanta, GA 30303-3105 | 2020-02-11 |
| 1396383394 | B & K Drugstores Inc | Pharmacy | 212 Edgewood Ave Ne, Atlanta, GA 30303-3027 | 2019-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942800271 | Macs Ltc Pharmacy Georgia LLC | Pharmacy | 1351 Oakbrook Dr Ste 110, Norcross, GA 30093-2242 | 2020-10-27 |
| 1295347516 | Kayton Pharmacy LLC | Pharmacy | 541 Forest Pkwy Ste 4, Forest Park, GA 30297-2147 | 2020-08-18 |
| 1346882735 | Mortar and Pestle, LLC | Pharmacy | 300 Mooty Bridge Rd, Lagrange, GA 30240-1881 | 2019-10-17 |
| 1134685241 | Mgp Rx, LLC | Pharmacy | 1951 Canton Rd Ste 290, Marietta, GA 30066-6300 | 2019-02-13 |
| 1326553090 | West Georgia Home Medical Equipment Co Inc | Pharmacy | 1861 Roanoke Rd Ste A, Lagrange, GA 30240-3850 | 2017-12-04 |
| 1295278166 | Prestige Pharmacy Snellville LLC | Pharmacy | 1551 Janmar Rd, Suite B, Snellville, GA 30078-5606 | 2016-11-28 |
| 1609327089 | Butler Long Term Care Solutions | Pharmacy | 10 B North Poplar St, Butler, GA 31006 | 2016-10-20 |
| 1871953406 | South Georgia Pharmacy Services Inc | Pharmacy | 720 W Central Ave Ste 1, Moultrie, GA 31768-3560 | 2016-02-24 |
| 1760862247 | Healthcare Specialty Transactions, LLC | Pharmacy | 1267 Professional Pkwy Ste 200, Gainesville, GA 30507-8705 | 2015-06-01 |
| 1801209804 | Psi, LLC | Pharmacy | 635 Cook St, Royston, GA 30662-3932 | 2014-06-06 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BUDD TERRACE PHARMACY.
| 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.