GEORGIA CVS PHARMACY LLC (NPI# 1346343175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346343175 |
| Entity Type | Organization |
| Organization Name | GEORGIA CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY # 07755 |
| Practice Address |
5431 Hwy 136 Trenton GA 30752-2842 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 7066578011 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2011-10-25 |
| 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 |
Suppliers | ||
| Y | 333600000X | Pharmacy | 006724 | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000335794A | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 1130892 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY # 07755 | 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 |
5431 HWY 136 |
| City | TRENTON |
| State | GA |
| Zip Code | 30752-2842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770126492 | Frederic Oehlschlaeger | Pharmacist | 5431 Ga-136, Trenton, GA 30752 | 2019-10-25 |
| 1649700212 | Lisa Michelle Stephans | Counselor | 12586 North Main Street, Trenton, GA 30752 | 2017-06-15 |
| 1881019305 | Crystal L Hancock | Nurse Practitioner | 12978 North Main Street, Trenton, GA 30752 | 2014-02-20 |
| 1548602758 | Freds Stores of Tennessee Inc. | Pharmacy | 11858 S Main St, Trenton, GA 30752 | 2013-07-29 |
| 1699021360 | Megan Hall Nunn | Pharmacist | 112 Crimson Drive, Trenton, GA 30752 | 2012-07-31 |
| 1881886398 | Complete Chiropractic Care, LLC | Chiropractor | 12551 North Main, Trenton, GA 30752 | 2007-08-17 |
| 1184783771 | Cindy Marie Simmons | Physician Assistant | 111 North Pine Street, Trenton, GA 30752 | 2006-12-08 |
| 1124190962 | Lookout Mountain Community Services | Community/Behavioral Health | 12580 North Main St., Trenton, GA 30752 | 2006-11-15 |
| 1386725893 | Dade County Board of Health | Public Health or Welfare | 71 Case Ave, Suite H100, Trenton, GA 30752 | 2006-10-18 |
| 1164435954 | Denis L Mcdonald | Optometrist | 5377 Hwy 136, Trenton, GA 30752 | 2006-08-14 |
| Find all providers in zip 30752 | ||||
| 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 |
|---|---|---|---|---|
| 1326504754 | My Health Pharmacy LLC | Pharmacy | 110 N Hermitage Ave, Trenton, NJ 08618-5510 | 2019-02-11 |
| 1447625363 | Dyer Station Pharmacy LLC | Pharmacy | 2017 S College St Ste B, Trenton, TN 38382-3934 | 2015-12-03 |
| 1104252485 | Bayview Pharmacy Inc | Pharmacy | 2920 W Jefferson Ave, Trenton, MI 48183-2904 | 2013-09-19 |
| 1336574375 | Southcare Pharmacy Inc | Pharmacy | 405 Se 1st Ave, Trenton, FL 32693-3219 | 2013-09-10 |
| 1043455298 | Syn Health LLC | Pharmacy | 695 Chambers St, Trenton, NJ 08611-3718 | 2008-12-02 |
| 1497896542 | Brunswick Pharmacy Inc | Pharmacy | 701 Brunswick Ave, Trenton, NJ 08638-4123 | 2007-02-10 |
| 1902950355 | Ponder Pharmacy Inc | Pharmacy | 11997 S Main St, Trenton, GA 30752-2855 | 2007-01-23 |
| 1457412520 | Olden Pharmacy | Pharmacy | 930 S Olden Ave, Trenton, NJ 08610-5160 | 2006-12-13 |
| 1154415214 | Price Pharmacy Inc | Pharmacy | 4655 Highway 136, Trenton, GA 30752-2908 | 2006-10-03 |
| 1548353980 | New No 4 Family Phcy Inc | Pharmacy | 405 E Broadway, Trenton, IL 62293-1663 | 2006-09-30 |
| Find all providers in TRENTON | ||||
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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.