CARROLLTON PHARMACY INC (NPI# 1750457925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750457925 |
| Entity Type | Organization |
| Organization Name | CARROLLTON PHARMACY INC |
| Other Organization Name | CARROLLTON PHARMACY INC |
| Practice Address |
105 Clinic Ave Carrollton GA 30117-4413 |
| Practice Telephone | 7708347733 |
| Practice Fax Number | 7708347734 |
| Mailing Telephone | 7708347733 |
| Mailing Fax Number | 7708347734 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2011-11-07 |
| Authorized Official Name | DENNIS MCCULLOUGH (OWNER) |
| Authorized Official Telephone | 7708347733 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHRE008910 | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00300396A | 05 | |
| NCPDP PROVIDER IDENTIFICATION NUMBER | 1129041 | 01 |
| Other Name | Type Code |
|---|---|
| CARROLLTON PHARMACY INC | Doing Business As Name - Organization |
| Street Address |
105 CLINIC AVE |
| City | CARROLLTON |
| State | GA |
| Zip Code | 30117-4413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679199392 | Southern Rad Onc LLC | Radiology | 809 South Park Street, Carrollton, GA 30117 | 2020-06-18 |
| 1093361404 | Eyedeal Eyecare LLC | Optometrist | 1735 S Us 27, Carrollton, GA 30117 | 2019-08-12 |
| 1710412473 | Janis James | Optometrist | 1735 S, Us-27, Walmart Vision Center, Carrollton, GA 30117 | 2017-05-01 |
| 1568881951 | Omar Hajmurad | Anesthesiology | 812 S Park St Ste 5, Carrollton, GA 30117 | 2014-04-14 |
| 1134550353 | Goodbodys Minor Med Express Care | Nurse Practitioner | 1670 South Park St., Carrollton, GA 30117 | 2013-12-13 |
| 1306187570 | Myriam C Vela-ortiz | Internal Medicine | 157 Clinic Ave Ste 203, Carrollton, GA 30117 | 2013-03-12 |
| 1891030201 | Air Evac Ems, Inc. | Ambulance | 827 Old Bremen Rd, Carrollton, GA 30117 | 2012-12-11 |
| 1952682486 | Angelic Wings Transport, Inc. | Non-emergency Medical Transport (VAN) | 362 B Columbia Drive, Carrollton, GA 30117 | 2011-08-29 |
| 1073819256 | Atlanta Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 812 South Park Street, Suite 2, Carrollton, GA 30117 | 2011-02-04 |
| 1255640348 | Amy Gilbert | Counselor | 515 Tanner St, Carrollton, GA 30117 | 2010-10-06 |
| Find all providers in zip 30117 | ||||
| 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 |
|---|---|---|---|---|
| 1316565880 | Ams Health Inc | Pharmacy | 4541 N Josey Ln Ste 250, Carrollton, TX 75010-4781 | 2020-07-10 |
| 1386203933 | Neo Texas LLC | Pharmacy | 1933 E Frankford Rd Ste 120, Carrollton, TX 75007-5394 | 2019-06-07 |
| 1548745219 | Locus Health, LLC | Pharmacy | 1205 N Josey Ln Ste B, Carrollton, TX 75006-6145 | 2018-09-28 |
| 1457848004 | Hillcrest Pharmacy, LLC | Pharmacy | 3065 N Josey Ln Ste 60, Carrollton, TX 75007-5348 | 2018-04-19 |
| 1043742737 | Sas Pharmacy Inc. | Pharmacy | 1205 N Josey Ln Ste 200a, Carrollton, TX 75006-6145 | 2017-03-31 |
| 1295140572 | B-pharm, Inc | Pharmacy | 1003 Highway 65 North, Suite B, Carrollton, MO 64633 | 2014-06-25 |
| 1639590995 | Agateno Technologies LLC | Pharmacy | 3648 Old Denton Rd Ste 104, Carrollton, TX 75007-7977 | 2014-01-03 |
| 1407129968 | Baylor Health Enterprises Lp | Pharmacy | 4323 N Josey Ln Ste 102, Carrollton, TX 75010-4630 | 2012-02-14 |
| 1215012570 | Texas Hematology/oncology Center, Pa | Pharmacy | 4352 North Josey Lane, Carrollton, TX 75010 | 2006-10-26 |
| 1083718860 | Cvs Pharmacy Inc | Pharmacy | 3065 N Josey Ln, Suite 64, Carrollton, TX 75007-5340 | 2006-09-12 |
| Find all providers in CARROLLTON | ||||
| City | CARROLLTON |
| Zip Code | 30117 |
Please comment or provide details below to improve the information on CARROLLTON PHARMACY 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.