GEORGIA CVS PHARMACY, L.L.C. (NPI# 1346344272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346344272 |
| Entity Type | Organization |
| Organization Name | GEORGIA CVS PHARMACY, L.L.C. |
| Other Organization Name | CVS PHARMACY #02147 |
| Practice Address |
2782 N Cobb Pkwy Kennesaw GA 30152-3472 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 7704201092 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2013-11-15 |
| 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 | 008116 | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 1143887 | 01 | |
| GA | 000741958A | 05 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY #02147 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699095869 | Georgia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1800 Brunswick Hwy, Waycross, GA 31501-1061 | 2010-06-10 |
| 1245550417 | Georgia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 680 Ponce De Leon Ave., Atlanta, GA 30308-1808 | 2010-06-10 |
| 1861711947 | Georgia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 5101 Washington Rd, Evans, GA 30809-6445 | 2010-05-27 |
| 1427388453 | Georgia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 965 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2130 | 2010-01-14 |
| 1518296318 | Georgia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1162 West Ave., Cartersville, GA 30120-6138 | 2009-12-08 |
| 1689807018 | Georgia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 7355 Roswell Rd Ne, Sandy Springs, GA 30328-1044 | 2009-09-02 |
| 1801022918 | Georgia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 795 Oglethorpe Ave., Athens, GA 30606-2242 | 2009-06-03 |
| 1912131335 | Georgia Cvs Pharmacy, L.L.C. | Pharmacy | 5384 Highway 20 S, Covington, GA 30016-4403 | 2009-05-13 |
| 1568605400 | Georgia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 3221 Peachtree Road Ne, Atlanta, GA 30305-2414 | 2009-04-08 |
| 1508004169 | Georgia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1905 Martha Berry Blvd., Rome, GA 30165-1649 | 2009-02-04 |
| Street Address |
2782 N COBB PKWY |
| City | KENNESAW |
| State | GA |
| Zip Code | 30152-3472 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314918 | Monay Christine Sanders | Nurse Practitioner | 2782 N Cobb Pkwy, Kennesaw, GA 30152-3472 | 2020-07-27 |
| 1588127666 | Erin Patel | Nurse Practitioner | 2782 N Cobb Pkwy, Kennesaw, GA 30152-3472 | 2019-04-07 |
| 1255781126 | Judy Schulz | Nurse Practitioner | 2782 N Cobb Pkwy, Kennesaw, GA 30152-3472 | 2016-06-21 |
| 1295191633 | David Higdon Jr. | Pharmacist | 2782 N Cobb Pkwy, Kennesaw, GA 30152-3472 | 2016-01-14 |
| 1831566223 | Anthony Williams | Pharmacist | 2782 N Cobb Pkwy, Kennesaw, GA 30152-3472 | 2015-09-01 |
| 1013383330 | Chad Richard | Pharmacist | 2782 N Cobb Pkwy, Kennesaw, GA 30152-3472 | 2015-08-20 |
| 1083080469 | Tyler Zack | Pharmacist | 2782 N Cobb Pkwy, Kennesaw, GA 30152-3472 | 2015-08-19 |
| 1376930404 | Mary Rose Locke | Nurse Practitioner | 2782 N Cobb Pkwy, Kennesaw, GA 30152-3472 | 2015-04-15 |
| 1467857516 | Angel Woody | Nurse Practitioner | 2782 N Cobb Pkwy, Kennesaw, GA 30152-3472 | 2014-10-31 |
| 1093069775 | Sonia Louise Mccallister | Nurse Practitioner | 2782 N Cobb Pkwy, Kennesaw, GA 30152-3472 | 2012-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821647124 | Ashley Dover | Nurse Practitioner | 1300 Ridenour Blvd, Suite 300, Kennesaw, GA 30152 | 2019-09-09 |
| 1205306891 | Lashanda Denise Moore | Nurse Practitioner | 1600 Kennesaw Due West Rd Nw #205, Kennesaw, GA 30152 | 2018-11-27 |
| 1265901094 | Focused Loving Home Care Services LLC | In Home Supportive Care | 2151 Marne Glen Nw, Kennesaw, GA 30152 | 2018-11-22 |
| 1083199152 | Raven Ashley Thomas | Behavioral Analyst | 1619 Collins Rd Nw Ste 500, Kennesaw, GA 30152 | 2018-09-25 |
| 1821592593 | Eseovhe Egborge PC | Clinic/Center | 1600 Kennesaw Due West Rd Nw Ste 205, Kennesaw, GA 30152 | 2018-03-19 |
| 1184143059 | Kennesaw Mountain Dental Associates | Dentist | 1815 Old 41 Hwy, Ste 310, Kennesaw, GA 30152 | 2017-09-12 |
| 1265955983 | Deborah Ruth Stern Compton | Registered Nurse | 1291 Stanley Rd., Kennesaw, GA 30152 | 2017-07-25 |
| 1912452939 | Mak Anesthesia Holdings LLC | Anesthesiology | 1300 Ridenour Blvd., Ste. 300, Kennesaw, GA 30152 | 2016-08-19 |
| 1528430279 | Tineka Nichol Wyckoff | Counselor | 1967 Lake Heights Circle, Kennesaw, GA 30152 | 2015-10-21 |
| 1669753992 | American Current Care Pa | Clinic/Center | 2953 Cobb Parkway, Suite 400, Kennesaw, GA 30152 | 2011-08-31 |
| Find all providers in zip 30152 | ||||
| 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 |
|---|---|---|---|---|
| 1790726289 | Publix Super Markets Inc | Pharmacy | 2774 N Cobb Pkwy, Kennesaw, GA 30152-3469 | 2006-06-08 |
| 1568405843 | Kaiser Permanante Twnprk Intnl Med | Pharmacy | 750 Townpark Ln Nw, Kennesaw, GA 30144-5579 | 2006-06-14 |
| 1841232626 | Kaiser Foundation Health Plan of Georgia, Inc. | Pharmacy | 750 Townpark Ln Nw, Kennesaw, GA 30144-5579 | 2006-06-13 |
| 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 | ||||
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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.