PSI, LLC (NPI# 1801209804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801209804 |
| Entity Type | Organization |
| Organization Name | PSI, LLC |
| Other Organization Name | ELDERCARE PHARMACY ROYSTON |
| Practice Address |
635 Cook St Royston GA 30662-3932 |
| Practice Telephone | 7628477403 |
| Practice Fax Number | 7062451421 |
| Mailing Telephone | 7628477403 |
| Mailing Fax Number | 7062451421 |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2016-09-27 |
| Authorized Official Name | MS. AMANDA T ROBERSON (VICE PRESIDENT OF OPERATIONS) |
| Authorized Official Telephone | 4787831515 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003148860A | 05 |
| Other Name | Type Code |
|---|---|
| ElderCare Pharmacy Royston | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205828746 | Psi, LLC | Pharmacy | 4315 Belair Frontage Rd, Augusta, GA 30909-9412 | 2005-08-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | PSI, LLC | 325 S. Union Blvd., Lakewood, CO 80228 |
| Street Address |
635 COOK ST |
| City | ROYSTON |
| State | GA |
| Zip Code | 30662-3932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073053963 | Crystal Roach | Occupational Therapist | 874 Halley Rd., Royston, GA 30662 | 2017-02-27 |
| 1477965358 | Community Care Pharmacy of Royston | Pharmacy | 635 Cook Street, Royston, GA 30662 | 2014-05-27 |
| 1407919731 | Abby H Bedichek | Occupational Therapist | 613 Cook Street, Royston, GA 30662 | 2006-12-18 |
| 1215005053 | Julian Douglas Sharpton | Family Medicine | 891 Church Street, Royston, GA 30662 | 2006-12-01 |
| 1043306509 | Diane Veronica Lewis | Licensed Practical Nurse | 1025 Cromers Bridge Road, Royston, GA 30662 | 2006-10-04 |
| 1154351591 | Shalimar Sheree Crowe | Specialist/Technologist | 181 Spring St, Royston, GA 30662 | 2006-07-03 |
| 1497735328 | Laurie Martin-kiser | Nurse Practitioner | 819 Church Street, Royston, GA 30662 | 2006-01-18 |
| 1619034584 | Patricia Kieley Adkins | Psychologist | 613 Cook Street, Royston, GA 30662 | 2007-01-02 |
| 1487719688 | Robin Turner Vining | Speech-Language Pathologist | 613 Cook St, Royston, GA 30662 | 2006-12-27 |
| 1528175593 | Ty Cobb Healthcare System | Skilled Nursing Facility | 545 Cook Street, Royston, GA 30662-0589 | 2006-08-24 |
| Find all providers in zip 30662 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| 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 |
|---|---|---|---|---|
| 1023092624 | Ty Cobb Healthcare System Long Term Care Pharmacy | Pharmacy | 521 Franklin Springs St, Royston, GA 30662-3934 | 2005-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942800271 | Macs Ltc Pharmacy Georgia LLC | Pharmacy | 1351 Oakbrook Dr Ste 110, Norcross, GA 30093-2242 | 2020-10-27 |
| 1295347516 | Kayton Pharmacy LLC | Pharmacy | 541 Forest Pkwy Ste 4, Forest Park, GA 30297-2147 | 2020-08-18 |
| 1205479771 | Welltree Pharmacy LLC | Pharmacy | 5009 Roswell Rd Ste 210, Atlanta, GA 30342-2205 | 2019-10-28 |
| 1346882735 | Mortar and Pestle, LLC | Pharmacy | 300 Mooty Bridge Rd, Lagrange, GA 30240-1881 | 2019-10-17 |
| 1134685241 | Mgp Rx, LLC | Pharmacy | 1951 Canton Rd Ste 290, Marietta, GA 30066-6300 | 2019-02-13 |
| 1326553090 | West Georgia Home Medical Equipment Co Inc | Pharmacy | 1861 Roanoke Rd Ste A, Lagrange, GA 30240-3850 | 2017-12-04 |
| 1295278166 | Prestige Pharmacy Snellville LLC | Pharmacy | 1551 Janmar Rd, Suite B, Snellville, GA 30078-5606 | 2016-11-28 |
| 1609327089 | Butler Long Term Care Solutions | Pharmacy | 10 B North Poplar St, Butler, GA 31006 | 2016-10-20 |
| 1285180711 | Vn Pharmacy LLC | Pharmacy | 5000 Buford Hwy, Suite A-106, Atlanta, GA 30341-3500 | 2016-08-25 |
| 1871953406 | South Georgia Pharmacy Services Inc | Pharmacy | 720 W Central Ave Ste 1, Moultrie, GA 31768-3560 | 2016-02-24 |
| 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.