SSC AFFILIATES INC (NPI# 1588774392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588774392 |
| Entity Type | Organization |
| Organization Name | SSC AFFILIATES INC |
| Other Organization Name | SHEPHERD APOTHECARY |
| Practice Address |
2020 Peachtree Rd Nw Atlanta GA 30309-1426 |
| Practice Telephone | 4043507743 |
| Practice Fax Number | 4043507514 |
| Mailing Telephone | 4043507743 |
| Mailing Fax Number | 4043507514 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2017-02-22 |
| Authorized Official Name | DR. CHRISTOPHER PAUL MCGOURK (MANAGER) |
| Authorized Official Telephone | 4043507743 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | PHRE005987 | GA | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHRE005987 | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000498154A | 05 | |
| GA | 000248069C | 05 |
| Other Name | Type Code |
|---|---|
| Shepherd Apothecary | Doing Business As Name - Organization |
| Street Address |
2020 PEACHTREE RD NW |
| City | ATLANTA |
| State | GA |
| Zip Code | 30309-1426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831188929 | Michael Robert Yochelson | Neuromusculoskeletal Medicine & OMM | 2020 Peachtree Rd Nw, Atlanta, GA 30309-1426 | 2005-10-20 |
| 1447865803 | Laura Ko | Pharmacist | 2020 Peachtree Rd Nw, Atlanta, GA 30309-1426 | 2020-09-12 |
| 1386264430 | Tori Le | Occupational Therapist | 2020 Peachtree Rd Nw, Atlanta, GA 30309-1426 | 2020-04-19 |
| 1063043347 | Joy Williams | Physical Therapist | 2020 Peachtree Rd Nw, Atlanta, GA 30309-1426 | 2020-01-27 |
| 1679036370 | Katherine Long Mccauley | Psychologist | 2020 Peachtree Rd Nw, Atlanta, GA 30309-1465 | 2019-04-09 |
| 1295296226 | William Alexander Alverson | Clinical Neuropsychologist | 2020 Peachtree Rd Nw, Atlanta, GA 30309-1465 | 2019-03-31 |
| 1467930446 | Conekia Marshea Kinsey | Nurse Practitioner | 2020 Peachtree Rd Nw, Atlanta, GA 30309-1426 | 2018-08-01 |
| 1275054157 | Beverly Bonilla | Nurse Practitioner | 2020 Peachtree Rd Nw, Atlanta, GA 30309-1426 | 2017-06-30 |
| 1497283584 | Sara Ann Schleicher-dilks | Clinical Neuropsychologist | 2020 Peachtree Rd Nw, Atlanta, GA 30309-1426 | 2017-06-01 |
| 1306387972 | Stephanie Polk | Clinical Nurse Specialist | 2020 Peachtree Rd Nw, Atlanta, GA 30309-1426 | 2017-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396382354 | Astoria Dentistry LLC | Dentist | 2233 Peachtree Rd. Nw, Suite 300, Atlanta, GA 30309 | 2019-12-09 |
| 1487133740 | S2 Telehealth Technologies, LLC | Psychiatry & Neurology | 915 W Peachtree St Nw Apt 522, Atlanta, GA 30309 | 2018-08-08 |
| 1841782620 | Janie Mardis | Social Worker | 3 Park Ln Ne, Apt H, Atlanta, GA 30309 | 2018-06-06 |
| 1083102842 | Veronica L Bentley | Specialist/Technologist, Other | 1170 Peachtree Street Suite 1200, Atlanta, GA 30309 | 2018-04-27 |
| 1427566363 | Net Medical Corp | Chiropractor | 1100 Spring St Sw, Ste#700, Atlanta, GA 30309 | 2018-01-12 |
| 1871000463 | Mary James (jamie) Johnson | Counselor | 1100 Spring Street, Suite 380, Atlanta, GA 30309 | 2018-01-04 |
| 1306377817 | Aliyah Lamis Scott | Social Worker | 1745 Peachtree Road Ne, Kaiser Permanente Brookwood Medical Office, Atlanta, GA 30309 | 2017-03-26 |
| 1013450774 | Caroline Hallen | Nurse Practitioner | 105 Collier Rd Nw Suite 3040, Atlanta, GA 30309 | 2016-11-29 |
| 1528501723 | Ant-aging Queen | Nutritionist | 1801 Atlanta Medical Clinic, Suite 250, Atlanta, GA 30309 | 2016-11-21 |
| 1790231439 | Nurse 2 Health Home Care LLC | Home Health | 1075 Peachtree Street Ne, Atlanta, GA 30309 | 2016-09-01 |
| Find all providers in zip 30309 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043817208 | Mlk Pharmacy2.0 | Pharmacy | 2457 Mlk Jr Dr Sw Ste A, Atlanta, GA 30311-1712 | 2020-10-01 |
| 1407492119 | Capsule Atlanta LLC | Pharmacy | 867 Peachtree St Ne Ste 102, Atlanta, GA 30308-1380 | 2019-11-18 |
| 1861978793 | Uhs of Peachford Lp | Pharmacy | 2150 Peachford Rd Ste D, Atlanta, GA 30338 | 2018-07-13 |
| 1497262778 | Champions Pharmacy | Pharmacy | 3886 Princeton Lakes Way Suite 180, Atlanta, GA 30331 | 2018-01-08 |
| 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 |
| Find all providers in ATLANTA | ||||
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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.