LACEY DRUG COMPANY INC (NPI# 1982713566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982713566 |
| Entity Type | Organization |
| Organization Name | LACEY DRUG COMPANY INC |
| Other Organization Name | LACEY'S MARIETTA PHARMACY |
| Practice Address |
790 Church St Ne Ste 210 Marietta GA 30060-8950 |
| Mailing Address |
790 Church St Ne Suite 170 Marietta GA 30060-7282 |
| Practice Telephone | 7704243131 |
| Practice Fax Number | 7704242935 |
| Mailing Telephone | 7704243131 |
| Mailing Fax Number | 7704242935 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2019-10-08 |
| Authorized Official Name | LARRY LINDSEY BRADEN (MANAGER) |
| Authorized Official Telephone | 7704243131 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
PHRE007082 | GA | Suppliers |
| N | 3336M0002X |
Pharmacy Specialization: Mail Order Pharmacy |
PHRE007082 | GA | Suppliers |
| N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
PHRE007082 | GA | Suppliers |
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
PHRE007082 | GA | Suppliers |
| N | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
PHRE007082 | GA | Suppliers |
| N | 333600000X | Pharmacy | PHRE007082 | GA | Suppliers |
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHRE007082 | GA | Suppliers |
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | PHRE007082 | GA | Suppliers |
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
PHRE007082 | GA | Suppliers |
| N | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
PHRE007082 | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00404137A | 05 |
| Other Name | Type Code |
|---|---|
| LACEY'S MARIETTA PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023123825 | Lacey Drug Company Inc | Pharmacy | 4469 Lemon St, Acworth, GA 30101-5418 | 2006-08-20 |
| 1548364292 | Lacey Drug Company Inc | Durable Medical Equipment & Medical Supplies | 4797 S Main St, Acworth, GA 30101-5339 | 2006-09-12 |
| Street Address |
790 CHURCH ST NE STE 210 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30060-8950 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477657898 | Lacey Drug Co., Inc. | Durable Medical Equipment & Medical Supplies | 790 Church St Ne Ste 210, Marietta, GA 30060-8950 | 2006-09-08 |
| 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 | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164045548 | My Chronic Care Management | Durable Medical Equipment & Medical Supplies | 20 Whitlock Pl Sw Ste 101, Marietta, GA 30064-3176 | 2020-05-20 |
| 1508495953 | Sns Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 631 Campbell Hill St Nw Ste 100, Marietta, GA 30060-1390 | 2020-04-07 |
| 1679125538 | Ogles Oxygen, LLC | Durable Medical Equipment & Medical Supplies | 1890 W Oak Pkwy Ste A, Marietta, GA 30062-2278 | 2019-07-11 |
| 1609338326 | Green Wood Berry Holdings LLC | Durable Medical Equipment & Medical Supplies | 509 Gramercy Dr Ne, Marietta, GA 30068-4873 | 2019-04-02 |
| 1508358714 | Mbs Wellness Group, LLC | Durable Medical Equipment & Medical Supplies | 62 Shawnee Trail Se, Marietta, GA 30067 | 2018-06-04 |
| 1487183224 | Damon Iler | Durable Medical Equipment & Medical Supplies | 428 Marble Mill Rd Nw Unit A, Marietta, GA 30060 | 2017-06-06 |
| 1659825198 | Lonnie Johnson | Durable Medical Equipment & Medical Supplies | 1750 Powder Springs Rd Sw Ste 190, Marietta, GA 30064-4861 | 2016-08-13 |
| 1316334261 | Lincare Inc | Durable Medical Equipment & Medical Supplies | 718 Cherokee St, Marietta, GA 30060-7253 | 2015-04-17 |
| 1760872923 | Advanced Home Care Inc | Durable Medical Equipment & Medical Supplies | 800 Whitlock Ave Nw, Ste 126, Marietta, GA 30064-4664 | 2015-01-27 |
| 1003212457 | Zenartis Health Services LLC | Durable Medical Equipment & Medical Supplies | 1110 Northchase Pkwy Se, Suite 180, Marietta, GA 30067-6408 | 2014-11-13 |
| Find all providers in MARIETTA | ||||
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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.