ELBEN RX INC (NPI# 1730695040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730695040 |
| Entity Type | Organization |
| Organization Name | ELBEN RX INC |
| Other Organization Name | LAWRENCE PHARMACY |
| Practice Address |
631 Broad St Se Gainesville GA 30501-3729 |
| Practice Telephone | 7705320186 |
| Practice Fax Number | 7705031016 |
| Mailing Telephone | 7705320186 |
| Mailing Fax Number | 7705031016 |
| Enumeration Date | 2017-12-21 |
| Last Update Date | 2018-05-25 |
| Authorized Official Name | CHRISTOPHER SULLENS (PRESIDENT) |
| Authorized Official Telephone | 7705320186 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHRE010419 | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000673219A | 05 | |
| PK | 2174745 | 01 |
| Other Name | Type Code |
|---|---|
| Lawrence Pharmacy | Other Name - Individual/Organization |
| Street Address |
631 BROAD ST SE |
| City | GAINESVILLE |
| State | GA |
| Zip Code | 30501-3729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972675759 | Stephen D Adams Pharmacies Inc | Pharmacy | 631 Broad St Se, Gainesville, GA 30501-3729 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437782851 | Madison Raye Huth | Physician Assistant | 743 Spring Street Se, Gainesville, GA 30501 | 2020-02-13 |
| 1205487659 | Grace M Walker Brown | Nurse Practitioner | 592 Medical Park Dr., Suite A, Gainesville, GA 30501 | 2019-09-26 |
| 1174086987 | Nayab Ahmed | Student in an Organized Health Care Education/Training Program | 743 Spring Street, Suite 710, Gainesville, GA 30501 | 2019-04-09 |
| 1154881118 | Ryan D Berry | Student in an Organized Health Care Education/Training Program | 734 Spring St Se Ste 710, Gainesville, GA 30501 | 2019-03-24 |
| 1609336304 | Harper E Niver | Student in an Organized Health Care Education/Training Program | 743 Spring St., Suite 710, Gainesville, GA 30501 | 2019-03-20 |
| 1508336173 | Bradee Burrell Aderholt | Nurse Practitioner | 663 Lanier Park Drive, Gainesville, GA 30501 | 2018-11-27 |
| 1578068359 | Soammy Liz Matias | Chiropractor | 961 Green Street, Gainesville, GA 30501 | 2018-03-26 |
| 1811496896 | Matthew Brown | Speech-Language Pathologist | 500 Spring St. Se Suite 101, Gainesville, GA 30501 | 2018-02-06 |
| 1346769825 | Dr. Skeete & Associates of North Georgia, P.C. | Optometrist | 150 Pearl Nix Parkway, Suite D3a, Gainesville, GA 30501 | 2017-09-15 |
| 1932624723 | M & B Imaging, PC | Radiology | 1640 Jesse Jewell Pkwy Se Ste 2, Gainesville, GA 30501 | 2017-08-14 |
| Find all providers in zip 30501 | ||||
| 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 |
|---|---|---|---|---|
| 1932723772 | Akb LLC | Pharmacy | 842 E California St Ste A, Gainesville, TX 76240-4202 | 2020-06-06 |
| 1164042867 | Northeast Georgia Medical Center, Inc. | Pharmacy | 1439 Jesse Jewell Pkwy Ne, Gainesville, GA 30501-3806 | 2020-04-22 |
| 1376020883 | Avp Pharma LLC | Pharmacy | 7261 Nw 4th Blvd, Gainesville, FL 32607-1600 | 2018-07-26 |
| 1306365010 | Holiday Cvs, L.L.C. | Pharmacy | 250 Nw 13th St, Gainesville, FL 32601-5166 | 2017-09-13 |
| 1700300506 | Pharmasutra Pllc | Pharmacy | 7963 Heritage Village Plz, Gainesville, VA 20155-3077 | 2017-08-02 |
| 1336569946 | Anderson-scokelee, Inc | Pharmacy | 5001 Nw 34th Blvd Ste B, Gainesville, FL 32605-1190 | 2014-04-22 |
| 1417391194 | Northside Hospital, Inc. | Pharmacy | 1240 Jesse Jewell Pkwy Se Ste 550, Gainesville, GA 30501-3863 | 2013-04-24 |
| 1871852848 | Gainesville Pharmacy LLC | Pharmacy | 7963 Heritage Village Plaza, Gainesville, VA 20155 | 2012-05-11 |
| 1700112000 | Shands Teaching Hospital and Clinics, Inc. | Pharmacy | 1515 Sw Archer Rd., Room 1010, Gainesville, FL 32608 | 2009-10-22 |
| 1003015371 | Harris Teeter, LLC | Pharmacy | 7910 Crescent Park Dr., Gainesville, VA 20155 | 2007-07-16 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 30501 |
Please comment or provide details below to improve the information on ELBEN RX INC.
| 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.