MARKETPLACE PHARMACY LLC (NPI# 1306105325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306105325 |
| Entity Type | Organization |
| Organization Name | MARKETPLACE PHARMACY LLC |
| Practice Address |
9205 Lavonia Rd Carnesville GA 30521-3203 |
| Mailing Address |
Po Box 355 9205 Lavonia Rd. Carnesville GA 30521 |
| Practice Telephone | 7063843995 |
| Mailing Telephone | 7063842085 |
| Mailing Fax Number | 7063842225 |
| Enumeration Date | 2012-05-10 |
| Last Update Date | 2018-03-26 |
| Authorized Official Name | MICHAEL GONZALEZ (PHARMACIST IN CHARGE) |
| Authorized Official Telephone | 7063842085 |
| Authorized Official Credential | RPH. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | PHRE010393 | GA | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780978841 | Marketplace Pharmacy LLC | Pharmacy | 5262 Kyler Ave Ne Ste 112, Albertville, MN 55301-4706 | 2011-06-07 |
| Street Address |
9205 LAVONIA RD |
| City | CARNESVILLE |
| State | GA |
| Zip Code | 30521-3203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245865740 | Dharmesh Patel | Pharmacy | 9205 Lavonia Rd, Carnesville, GA 30521-3203 | 2020-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609273770 | Franklin County Bd of Comm. Hdm | Home Delivered Meals | 141 Athens St., Carnesville, GA 30521 | 2014-12-04 |
| 1245533132 | Ty Cobb Healthcare System, Inc | Specialist | 7850 Royston Rd, Carnesville, GA 30521 | 2010-12-15 |
| 1538221379 | Franklin County Schools | Local Education Agency (LEA) | 280 Busha Road, Carnesville, GA 30521 | 2006-12-15 |
| 1861587271 | Regina Cleveland | Licensed Practical Nurse | 6955 Hwy 145 South, Carnesville, GA 30521 | 2006-10-03 |
| 1033203492 | Angy M. Fowler | Registered Nurse | 6955 Hwy145 South, Carnesville, GA 30521 | 2006-10-02 |
| 1942310800 | Franklin County Ems | Ambulance | 9267 Lavonia Rd, Carnesville, GA 30521 | 2006-08-30 |
| 1730485160 | Laura C Starrett | Nurse Practitioner | 7850 Royston Rd, Carnesville, GA 30521 | 2011-02-02 |
| 1821167859 | Franklin County Board of Health | Public Health or Welfare | 6955 Hwy 145 South, Carnesville, GA 30521 | 2006-11-06 |
| 1760527865 | Suzanne Sullivan | Pharmacist | 9563 Lavonia Rd, Carnesville, GA 30521-0069 | 2007-02-20 |
| 1992797674 | Terry Quinton Beusse | Dentist | 6955 Highway 145 South, Franklin County Health Dept, Carnesville, GA 30521-0546 | 2005-08-18 |
| Find all providers in zip 30521 | ||||
| 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 |
|---|---|---|---|---|
| 1205900677 | Sullivan Drugs Inc | Pharmacy | 9563 Lavonia Rd, Carnesville, GA 30521-3254 | 2006-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607662 | H & W Pharmacy | Pharmacy | 4091 Redan Rd Ste C, Stone Mountain, GA 30083-4767 | 2020-10-23 |
| 1720603756 | Medical-pharmacy Associates of Georgia, LLC | Pharmacy | 1425 Georgia Ave Ste 1, Macon, GA 31201-6546 | 2020-06-16 |
| 1700419454 | Janus Rx | Pharmacy | 836 E 65th St Ste 42, Savannah, GA 31405-4496 | 2020-02-20 |
| 1295373702 | Downtown Pharmacy LLC | Pharmacy | 236 Forsyth St Sw Ste 202b, Atlanta, GA 30303-3786 | 2019-12-16 |
| 1750928719 | Goodscript, Inc. | Pharmacy | 3115 Roswell Rd Ste 205, Marietta, GA 30062-7611 | 2019-12-09 |
| 1942844741 | Genoa Healthcare, LLC | Pharmacy | 400 Technology Ct Se Ste J, Room P, Smyrna, GA 30082-5237 | 2019-11-05 |
| 1225670995 | Allcare Pharmacy, LLC | Pharmacy | 1004 S Tennille Ave, Donalsonville, GA 39845 | 2019-10-14 |
| 1417598327 | Connect Care Pharmacy, LLC | Pharmacy | 2191 Hwy 247 Connector, Byron, GA 31008-5531 | 2019-10-02 |
| 1467003467 | Selamawit Dejene | Pharmacy | 464 Bishop St Nw Apt 336, Atlanta, GA 30318-5384 | 2019-09-23 |
| 1902454721 | Batts Drug Company Mansfield, LLC | Pharmacy | 4424 Highway 213, Mansfield, GA 30055-3211 | 2019-08-27 |
| Find all providers with the same taxonomy | ||||
| City | CARNESVILLE |
| Zip Code | 30521 |
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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.