EAST MARIETTA DRUG CO INC , NPI 1396747580
Pharmacy in MARIETTA, GA
Last Updated on : Aug 17,2012
About EAST MARIETTA DRUG CO INC (NPI 1396747580)
EAST MARIETTA DRUG CO INC is a Pharmacy in MARIETTA, United States .
1396747580 is NPI number of EAST MARIETTA DRUG CO INC.
EAST MARIETTA DRUG CO INC's primary taxonomy code based on NPI Lookup is 333600000X with license number 1112072. This taxonomy code refers to Pharmacy.
EAST MARIETTA DRUG CO INC current practice location address is 1480 ROSWELL RD, MARIETTA, GA. EAST MARIETTA DRUG CO INC can be reached out via phone at 770-973-7600 and via fax at 770-973-3032 .
You can also correspond with EAST MARIETTA DRUG CO INC through mail at mailing address 1480 ROSWELL RD, MARIETTA, GA, United States. Mailing address contact number is 770-973-7600.
The enumeration date of EAST MARIETTA DRUG CO INC is 01-Jun-2005. The provider is registered as an Organization and the NPI record was last updated 11 years ago. The authorized official of EAST MARIETTA DRUG CO INC is PAMALA MARQUESS (SECRETARY). PAMALA MARQUESS can be reached at 7709737600.1396747580 NPI Information
Basic NPI information of EAST MARIETTA DRUG CO INC (NPI 1396747580) is provided below.
| Name | EAST MARIETTA DRUG CO INC |
|---|---|
| National Provider Id (NPI) | 1396747580 |
| Entity Type | Organization |
| Practice Address | 1480 ROSWELL RD,
MARIETTA, GA, United States |
| Practice Telephone | 770-973-7600 |
| Practice Fax Number | 770-973-3032 |
| Mailing Address | 1480 ROSWELL RD ,
MARIETTA, GA, United States |
| Mailing Telephone | 770-973-7600 |
| Mailing Fax Number | 770-973-3032 |
| Enumeration Date | 01-Jun-2005 |
| Last Updated Date | 17-Aug-2012 |
EAST MARIETTA DRUG CO INC (NPI 1396747580) Primary Taxonomy Information
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| Y | 333600000X | Pharmacy | 1112072 | GA |
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
EAST MARIETTA DRUG CO INC (NPI 1396747580) Secondary Taxonomy Information
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs, the license data is associated to each taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| N | 332BX2000X | Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | 0831400001 | GA |
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type/Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00026342A | MEDICAID (05) | GA | |
| 00026342B | MEDICAID (05) | GA | |
| 0831400001 | MEDICARE NSC (07) | GA | |
| 1112072 | Other (non-Medicare) (01) | GA | NABP |
| 55434554SA | MEDICARE PIN (08) | GA | |
| ========= | Other (non-Medicare) (01) | GA | TAX ID NUMBER |
| P00205070 | MEDICARE PIN (08) | GA |
EAST MARIETTA DRUG CO INC (NPI 1396747580) Office Location
Office location of EAST MARIETTA DRUG CO INC is provided in the Google maps below.Providers in same location
Here are a few of the other providers in the same location.
| NPI | Name | Taxonomy | Address | Enumeration date |
|---|---|---|---|---|
| 1861513210 | REHAB OF DULUTH | Clinic/Center, Physical Therapy | PO BOX 671902,
MARIETTA, CA, United States |
03-Apr-2007 |
| 1407150790 | PATRICE MARIE STOKES | Counselor | 1207 SANDALWOOD DR,
ATLANTA, GA, United States |
01-Jan-2011 |
| 1033455670 | JULIE R FORTENBERRY | Marriage & Family Therapist | 1640 POWERS FERRY RD SE,
BUILDING 16, SUITE 100 MARIETTA, GA, United States |
01-Jan-2013 |
| 1821155854 | LORETTA HICKS | Family Medicine | 105 WING MILL RD,
ATLANTA, GA, United States |
02-Jan-2007 |
| 1568529444 | QUALITY ONCOLOGY, INC. | Case Management | 1850 PARKWAY PL SE FL 12,
ATTN REIMBURSEMENT MARIETTA, GA, United States |
02-Jan-2007 |
| 1699832402 | ALERE WELLOLOGY, INC. | Case Management | 1850 PARKWAY PL SE FL 12,
ATTN REIMBURSEMENT MARIETTA, GA, United States |
02-Jan-2007 |
| 1477610095 | MARY ANN B FLORESTAN | Dietitian, Registered | 4757 CANTON RD, NE,
SUITE 110 MARIETTA, GA, United States |
02-Jan-2007 |
| 1679630206 | JEFFERY B BALLARD | Dentist, General Practice | 707 WHITLOCK AVENUE,
SUITE C 25 MARIETTA, GA, United States |
02-Jan-2007 |
| 1558428193 | TAMARA NIX | Pediatrics, Adolescent Medicine | 2155 POST OAK TRITT RD,
SUITE 100 MARIETTA, GA, United States |
02-Jan-2007 |
| 1194900704 | ALEXANDER GLUZMAN | Internal Medicine | 400 TOWER RD NE,
SUITE 200 MARIETTA, GA, United States |
02-Jan-2008 |
| 1992075410 | CATHERINE MICHELLE SCHENCK | Counselor, Mental Health | 1640 POWERS FERRY RD,
BUILDING 3 SUITE 200 MARIETTA, GA, United States |
02-Jan-2012 |
| 1730577594 | HAVALYN BRUNS | Chiropractor | 950 COBB PKWY S,
STE. 190 MARIETTA, GA, United States |
02-Jan-2015 |
| 1972010734 | NAOMI ELAINE BUSLER | Social Worker | 1950 SPECTRUM CIR SE STE 145,
MARIETTA, GA, United States |
02-Jan-2018 |
| 1497812937 | RICHARD ALAN HULL | Dentist | 135 VANN ST,
MARIETTA, GA, United States |
03-Jan-2007 |
| 1720145071 | WENDY SUE PHILLIPS | Chiropractor | PO BOX 261,
RYDAL, GA, United States |
03-Jan-2007 |
| 1093872202 | MATRIA HEALTHCARE, INC. | Clinical Medical Laboratory | 1850 PARKWAY PL SE FL 12,
ATTN REIMBURSEMENT MARIETTA, GA, United States |
03-Jan-2007 |
| 1356408587 | ALERE HEALTH IMPROVEMENT COMPANY | Durable Medical Equipment & Medical Supplies | 1850 PARKWAY PL SE FL 12,
ATTN REIMBURSEMENT MARIETTA, GA, United States |
03-Jan-2007 |
| 1114074358 | WINNINGHABITS.COM LTD | Durable Medical Equipment & Medical Supplies | 1850 PARKWAY PL SE FL 12,
ATTN REIMBURSEMENT MARIETTA, GA, United States |
03-Jan-2007 |
| 1629253117 | TOBIAH DME NETWORK INCORPORATED | Durable Medical Equipment & Medical Supplies, Customized Equipment | 3541 MAIN STATION DR SW,
MARIETTA, GA, United States |
03-Jan-2008 |
| 1609013036 | MICHAEL MANGONON | Surgery, Surgery of the Hand | 3775 ROSWELL RD,
SUITE 250 MARIETTA, GA, United States |
07-Jan-2009 |
How to check whether NPI 1063496693 is valid?
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FAQs
Whose NPI Number is 1396747580?1396747580 is the NPI number of EAST MARIETTA DRUG CO INC.
Where is EAST MARIETTA DRUG CO INC located?EAST MARIETTA DRUG CO INC is located at 1480 ROSWELL RD, MARIETTA, GA.
NPI number meaning
| Field Name | Field Value |
|---|---|
| NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
| Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
|
| Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
| Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
| Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
| Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
| Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
| Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
| Last Update Date | The date that a record was last updated or changed. |
| Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
| Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
| Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
| Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
| Provider License Number State Code | Provider License Number State Code #1 |
| Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
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