CONCORD INC (NPI# 1912921529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912921529 |
| Entity Type | Organization |
| Organization Name | CONCORD INC |
| Other Organization Name | CONCORD PHARMACY |
| Practice Address |
601 A Professional Drive Suite 170 Atlanta GA 30045 |
| Mailing Address |
8046 Roswell Rd Suite 202 Atlanta GA 30350 |
| Practice Telephone | 7703380971 |
| Practice Fax Number | 7703385275 |
| Mailing Telephone | 7706710657 |
| Mailing Fax Number | 7703930835 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | LISA A MCCORD (CORPORATE SECRETARY) |
| Authorized Official Telephone | 7706710657 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHRE008760 | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00322858J | 05 |
| Other Name | Type Code |
|---|---|
| Concord Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891719159 | Concord Inc | Pharmacy | 5484 Chamblee Dunwoody Rd, Dunwoody, GA 30338-4133 | 2006-07-27 |
| 1376863639 | Concord Inc | Pharmacy | 771 Old Norcross Rd, Suite 100, Lawrenceville, GA 30046-4386 | 2010-06-09 |
| 1972519106 | Concord Inc | Pharmacy | 993-d Johnson Ferry Rd, Suite 230, Atlanta, GA 30342 | 2006-07-31 |
| 1255355855 | Concord Inc | Pharmacy | 2500 Hospital Blvd, Suite 300, Roswell, GA 30076 | 2006-07-27 |
| 1144244740 | Concord Inc | Pharmacy | 550 Peachtree St Ne, Ste 1450, Atlanta, GA 30308 | 2006-07-27 |
| 1144244757 | Concord Inc | Pharmacy | 3890 Johns Creek Pkwy, Ste 160, Suwanee, GA 30024 | 2006-07-27 |
| 1982628590 | Concord Inc | Pharmacy | 1700 Hospital South Drive, Suite 101, Austell, GA 30001 | 2006-07-27 |
| 1801810155 | Concord Inc | Pharmacy | 5555 Peachtree Dunwoody Rd, Atlanta, GA 30350 | 2006-07-27 |
| 1114941663 | Concord Inc | Pharmacy | 960 Johnson Ferry Rd Ne, Ste 145, Atlanta, GA 30342-1631 | 2006-07-27 |
| 1023050804 | Concord Inc | Pharmacy | 97 Hefner St, Ste 200, East Ellijay, GA 30540-8268 | 2006-06-13 |
| Street Address |
601 A PROFESSIONAL DRIVE SUITE 170 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285104315 | Shalanda Monique Booker | Counselor | 2940 Emerald Springs Drive, Lawrenceville, GA 30045 | 2018-12-02 |
| 1669957320 | Chantelle S Fuller | Behavioral Analyst | 805 Donington Cir, Lawrenceville, GA 30045 | 2018-09-28 |
| 1356836035 | Gad Health Care LLC | Home Health | 1140 Great Oaks Dr, Lawrenceville, GA 30045 | 2018-06-26 |
| 1346668662 | Eca Optical, LLC | Eyewear Supplier (Equipment, not the service) | 601-a Professional Drive, Ste 170, Lawrenceville, GA 30045 | 2014-04-03 |
| 1598102733 | Selena Fuller | Nurse Practitioner | 181 South Clayton Street, Lawrenceville, GA 30045 | 2013-05-29 |
| 1942555982 | Vida Michele James-bryant | Community Health Worker | 1309 Avington Glen Dr, Lawrenceville, GA 30045 | 2012-07-16 |
| 1770840639 | Rebecca Vinson D'angelo | Occupational Therapist | 1518 Great Shoals Cir, Lawrenceville, GA 30045 | 2012-04-17 |
| 1427346774 | Amanda Michelel Woods | Psychologist | 285 South Perry Street, Lawrenceville, GA 30045 | 2011-07-20 |
| 1790070563 | M & G Pharmacy Inc | Pharmacy | 100 Hurricane Shoals Rd Suite F, Lawrenceville, GA 30045 | 2011-06-09 |
| 1306146154 | Thanh Dau | Optometrist | 1250 Scenic Highway, Ste 1268, Lawrenceville, GA 30045 | 2010-10-27 |
| Find all providers in zip 30045 | ||||
| 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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| 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.