PRIDE MEDICAL INC (NPI# 1568566511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568566511 |
| Entity Type | Organization |
| Organization Name | PRIDE MEDICAL INC |
| Other Organization Name | PRIDE PHARMACY |
| Practice Address |
3280 Howell Mill Rd Nw Suite 326 Atlanta GA 30327-4111 |
| Practice Telephone | 4043553788 |
| Practice Fax Number | 6782442157 |
| Mailing Telephone | 4043553788 |
| Mailing Fax Number | 6782442157 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2013-12-18 |
| Authorized Official Name | DR. JASON NASH (DIRECTOR OF PHARMACY) |
| Authorized Official Telephone | 4043553788 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHRE007491 | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 1141136 | 01 | |
| GA | 759295303A | 05 |
| Other Name | Type Code |
|---|---|
| PRIDE PHARMACY | Doing Business As Name - Organization |
| Street Address |
3280 HOWELL MILL RD NW SUITE 326 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30327-4111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174522023 | Lee Robert Anisman | Internal Medicine | 3280 Howell Mill Rd Nw, Suite 326, Atlanta, GA 30327-4111 | 2005-07-21 |
| 1952841447 | Ophthalmic Plastic and Cosmetic Surgery, LLC. | Ophthalmology | 3280 Howell Mill Rd Nw, Suite 321, Atlanta, GA 30327-4111 | 2017-03-02 |
| 1891145561 | Paragon Sports Medicine LLC | Preventive Medicine | 3280 Howell Mill Rd Nw, Ste 250, Atlanta, GA 30327-4111 | 2016-06-14 |
| 1023431376 | Amber Joy Golay | Physical Therapist | 3280 Howell Mill Rd Nw, Atlanta, GA 30327-4111 | 2014-01-22 |
| 1164783841 | Albert Baawo Jr Dmd PC | Dentist | 3280 Howell Mill Rd Nw, East Wing Suite 315, Atlanta, GA 30327-4111 | 2012-05-30 |
| 1598035123 | Terry J. Orme, Phd, P.C. | Psychologist | 3280 Howell Mill Rd Nw, Suite 250, Atlanta, GA 30327-4111 | 2012-01-12 |
| 1376812834 | Jason Mark Nash | Pharmacist | 3280 Howell Mill Rd Nw, Suite 326, Atlanta, GA 30327-4111 | 2011-12-29 |
| 1922389469 | Pride Medical Services, PC | Internal Medicine | 3280 Howell Mill Rd Nw, Suite 326, Atlanta, GA 30327-4111 | 2011-08-29 |
| 1477869931 | Georgia Health & Wellness Corporation | Specialist | 3280 Howell Mill Rd Nw, Suite 304, Atlanta, GA 30327-4111 | 2010-08-23 |
| 1104145614 | Paces Ferry Oral Surgery, LLC | Dentist | 3280 Howell Mill Rd Nw, #240, Atlanta, GA 30327-4111 | 2010-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497388730 | Brand New Start Treatment Center- Paulding LLC | Clinic/Center | 311 Wi Pkwy, Suite 500, Dallas, GA 30327 | 2020-02-14 |
| 1477039741 | Atlanta Knee and Shoulder Clinic PC | Orthopaedic Surgery | 3200 Downwood Cir Nw Ste 410, Atlanta, GA 30327 | 2018-07-19 |
| 1336636174 | One Group LLC | In Home Supportive Care | 3150 Howell Mill Road, Atlanta, GA 30327 | 2018-04-17 |
| 1609313949 | Michelle Perry | Specialist/Technologist | 4075 Paces Ferry Road Nw, Atlanta, GA 30327 | 2017-01-25 |
| 1447706981 | Cailey Ann Binkley | Counselor | 4200 Northside Parkway, Building 7, Atlanta, GA 30327 | 2016-08-25 |
| 1902256555 | Carlos Alberto Prays | Family Medicine | 3200 Downwood Cir Nw Ste 200, Atlanta, GA 30327 | 2016-06-14 |
| 1851793210 | Laura Goydich Rhein | Anesthesiologist Assistant | 3193 Howell Mill Rd Nw Ste 100, Atlanta, GA 30327 | 2014-09-17 |
| 1699115451 | Jeffrey Alan Bernstein | Obstetrics & Gynecology | 655 Widgeon Lane, Atlanta, GA 30327 | 2013-06-26 |
| 1053755207 | Thomas Windrow Marks | Orthopaedic Surgery | 1011 West Paces Ferry Rd.n.w., Atlanta, GA 30327 | 2013-04-18 |
| 1245572643 | Valerie Lananh Truong | Dermatology | 3193 Howell Mill Rd Nw Ste 220, Atlanta, GA 30327 | 2013-03-23 |
| Find all providers in zip 30327 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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] |
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| 1912357641 | Headland Pharmacy LLC | Pharmacy | 2973 Headland Drive, Suite B, Atlanta, GA 30331 | 2016-06-14 |
| 1285022277 | Express Food & Pharmacy Investment LLC | Pharmacy | 2111 Campbellton Rd Sw, Atlanta, GA 30311-4605 | 2014-12-30 |
| 1881024479 | Camp Creek Village Pharmacy Inc. | Pharmacy | 3220 Butner Rd Sw Suite #130, Atlanta, GA 30331 | 2013-11-18 |
| 1487093662 | Pharm Holdings | Pharmacy | 102 E Allday St, Atlanta, TX 75551-2305 | 2013-06-20 |
| 1255676326 | Eastlake Pharmacy Inc | Pharmacy | 1308 Glenwood Ave Se, Atlanta, GA 30316-2077 | 2012-11-30 |
| 1689918468 | Wal-mart Stores East Lp | Pharmacy | 835 Martin Luther King Jr Dr Nw, Atlanta, GA 30314-3644 | 2012-11-19 |
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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.