ARTEM PHARMACEUTICA LLC (NPI# 1932477817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932477817 |
| Entity Type | Organization |
| Organization Name | ARTEM PHARMACEUTICA LLC |
| Other Organization Name | ARTEM PHARMACEUTICA |
| Practice Address |
595 Roswell St Ne Ste D Marietta GA 30060-2163 |
| Mailing Address |
595 Roswell St Ne Suite D Marietta GA 30060-8218 |
| Practice Telephone | 7709443626 |
| Practice Fax Number | 7709443627 |
| Mailing Telephone | 7709443626 |
| Mailing Fax Number | 7709443627 |
| Enumeration Date | 2011-12-07 |
| Last Update Date | 2013-03-20 |
| Authorized Official Name | MARTIN WODI (PHARMACIST) |
| Authorized Official Telephone | 7709443626 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
PHRE009815 | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003122021A | 05 | |
| NCPDP PROVIDER IDENTIFICATION NUMBER | 1162154 | 01 |
| Other Name | Type Code |
|---|---|
| Artem Pharmaceutica | Doing Business As Name - Organization |
| Street Address |
595 ROSWELL ST NE STE D |
| City | MARIETTA |
| State | GA |
| Zip Code | 30060-2163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144845116 | Legacy Center for Spinal Surgery, LLC | Neurological Surgery | 1900 The Exchange, Ne, Suite 600, Marietta, GA 30060 | 2020-06-15 |
| 1407477193 | Michael Cynil Daniel | Counselor | 698 N Marietta, Pkwy, Marietta, GA 30060 | 2020-05-04 |
| 1285253401 | Cameron Thomas Kennelly | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne Attn:gme, Marietta, GA 30060 | 2020-04-09 |
| 1922640739 | Jeremiah George Blair | Physician Assistant | 61 Whitcher St Suite 2100, Marietta, GA 30060 | 2019-10-14 |
| 1164064945 | Denise Alicia Mick | Registered Nurse | 677 Church St Wellstar Kennestone Hospital, Marietta, GA 30060 | 2019-10-12 |
| 1184283772 | Iora Health Georgia, P.C. | Internal Medicine | 280 Cobb Pkwy Se, Suite 60, Marietta, GA 30060 | 2019-06-07 |
| 1346703212 | Caitlin Virginia Mueller | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne, Attn: Gme, Marietta, GA 30060 | 2019-04-08 |
| 1184187205 | Adero Francis | Student in an Organized Health Care Education/Training Program | Wellstar Kennestone Gme Internal Medicine Clinic, 833 Campbell Hill St Nw, Suite 250, Marietta, GA 30060 | 2019-04-08 |
| 1659832749 | Matthew Mozzo | Student in an Organized Health Care Education/Training Program | 677 Church Street / Lower Level, Gme Department / I.m., Marietta, GA 30060 | 2019-03-29 |
| 1245797430 | La'myia Spentz | Specialist | 109 Anderson St Ne, Suite 608, Marietta, GA 30060 | 2019-02-25 |
| Find all providers in zip 30060 | ||||
| Taxonomy Code | 3336C0004X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Compounding Pharmacy |
| A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner’s Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. |
| Notes: Sources: NABP Model Practice Act, Appendix C - Good Compounding Practice, USP <795> and <797>, and Pharmacy Compounding Accreditation Board [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639400070 | Sunrise Enterprises Inc | Pharmacy | 1275 Powers Ferry Rd Se Ste 170, Marietta, GA 30067-9487 | 2010-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204921 | P2 Pharmaceutical Services, LLC | Pharmacy | 2744 Broad St, Austell, GA 30106-3200 | 2020-10-28 |
| 1326654179 | Hawthorne Compounding Pharmacy LLC | Pharmacy | 100 Hawthorne Ln Ste A, Athens, GA 30606-2171 | 2020-09-17 |
| 1730710914 | Servemed, Inc | Pharmacy | 10263 Us Hwy 19, Suite 226, 226 Plaza Drive, Zebulon, GA 30295 | 2020-01-28 |
| 1013471010 | Kennison Pharmacy, LLC | Pharmacy | 4050 Buford Drive, Buford, GA 30518 | 2019-01-24 |
| 1629563317 | Dalton Worx, LLC | Pharmacy | 1506 N Thornton Ave Ste A, Dalton, GA 30720-8515 | 2018-06-26 |
| 1285145789 | Express At Northside LLC | Pharmacy | 296 Northside Dr Sw, Atlanta, GA 30313-1228 | 2017-10-24 |
| 1619411394 | Rita Rx Inc | Pharmacy | 3379 Highway 5 Ste F, Douglasville, GA 30135-2377 | 2016-12-14 |
| 1942756176 | Med-4-you LLC | Pharmacy | 3970 Peachtree Industrial Blvd, Berkeley Lake, GA 30096-4809 | 2016-08-28 |
| 1245785120 | Lambert Pharmacy LLC | Pharmacy | 15 Thomas Grace Annex Ln Ste 150, Sharpsburg, GA 30277-3653 | 2016-08-19 |
| 1629438296 | Express Drugs of Savannah LLC | Pharmacy | 824 E De Renne Ave, Savannah, GA 31405-6717 | 2016-02-25 |
| 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.