GEORGIA CVS PHARMACY, LLC (NPI# 1316240427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316240427 |
| Entity Type | Organization |
| Organization Name | GEORGIA CVS PHARMACY, LLC |
| Other Organization Name | CVS PHARMACY # 08907 |
| Practice Address |
395 Jackson St Newnan GA 30263 |
| Mailing Address |
1 Cvs Dr Woonsocket RI 02895-6146 |
| Practice Telephone | 7702513857 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2010-12-10 |
| Last Update Date | 2012-03-07 |
| Authorized Official Name | SUSAN COLBERT (DIRECTOR, PAYER RELATIONS) |
| Authorized Official Telephone | 4017702751 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | GA | Suppliers | |
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
GA | Suppliers | |
| Y | 333600000X | Pharmacy | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP | 1160744 | 01 | |
| GA | 003106839A | 05 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy # 08907 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871892463 | Georgia Cvs Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 1597 Hogansville Rd, Lagrange, GA 30241-1423 | 2011-03-22 |
| 1891098547 | Georgia Cvs Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 1193 Us Highway 19 South, Leesburg, GA 31763-4825 | 2010-12-17 |
| Street Address |
395 JACKSON ST |
| City | NEWNAN |
| State | GA |
| Zip Code | 30263 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750914115 | Tina Harvey | Counselor | 55 A, Suite A, Newnan, GA 30263 | 2020-02-13 |
| 1407492846 | Pathways Center for Behavioral & Developmental Growth | Community/Behavioral Health | 78 Hospital Road, Newnan, GA 30263 | 2019-11-20 |
| 1831672047 | Jp & Jg Enterprises | Hospice Care, Community Based | 22 Madras Parkway, Newnan, GA 30263 | 2018-09-13 |
| 1376052928 | Newnan Endoscopy Center LLC | Clinic/Center | 1200 Lower Fayetteville Rd, Newnan, GA 30263 | 2017-09-27 |
| 1417314899 | Natalie Stephens | Speech-Language Pathologist | 87 Matador Way, Newnan, GA 30263 | 2016-01-15 |
| 1376943423 | Kathryn R Fletcher | Case Manager/Care Coordinator | 30 O'tara Woods Drive, Newnan, GA 30263 | 2014-08-26 |
| 1912260068 | Tamecia Hill | Counselor | 37 2nd Ave., Newnan, GA 30263 | 2012-06-22 |
| 1013289255 | Pathways Center for Behavioral and Developmental Growth | Community/Behavioral Health | 52 Perry St, Newnan, GA 30263 | 2012-02-03 |
| 1245513092 | Rocky Mountain Holdings LLC | Ambulance | 180 W Aviation Way, Newnan, GA 30263 | 2011-09-27 |
| 1295035392 | A Caring Touch Wellness Center | Chiropractor | 144 Temple Avenue, Newnan, GA 30263 | 2010-10-25 |
| Find all providers in zip 30263 | ||||
| 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 |
|---|---|---|---|---|
| 1093211005 | Ctca Rx, LLC | Pharmacy | 610 Celebrate Life Pkwy, Newnan, GA 30265-8001 | 2018-03-30 |
| 1679088785 | Dinasha Inc | Pharmacy | 101 Greison Trl Ste A, Newnan, GA 30263-1442 | 2017-12-12 |
| 1164886727 | Aids Healthcare Foundation | Pharmacy | 770 Greison Trl Ste H, Newnan, GA 30263-6401 | 2016-04-11 |
| 1871832592 | Newnan Pharmacy Inc | Pharmacy | 15 Baker Rd Ste 2, Newnan, GA 30265-2155 | 2013-02-01 |
| 1922149889 | C & B Corporation | Pharmacy | 98 Jackson St, Newnan, GA 30263-1939 | 2007-02-12 |
| 1881792810 | Lee and Lee Inc | Pharmacy | 18 Cavender St, Newnan, GA 30263-1932 | 2006-09-21 |
| 1053332015 | Lee Goodrum Pharmacy Inc | Pharmacy | 40 Hospital Rd, Newnan, GA 30263-1201 | 2006-07-22 |
| 1396781753 | Newnan Hospital | Pharmacy | 80 Jackson St, Newnan, GA 30263-1941 | 2006-06-22 |
| 1619916624 | Publix Super Markets Inc | Pharmacy | 100 Glenda Trce, Newnan, GA 30265-3863 | 2006-06-05 |
| 1659310001 | Bjs Wholesale Club Inc | Pharmacy | 331 Newnan Crossing Byp E, Newnan, GA 30265-1067 | 2006-06-04 |
| Find all providers in NEWNAN | ||||
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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.