| NPI | 1083629638 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-07-30 |
| Last Updated | 2016-12-21 |
| Authorized Official | Valaura Hallman Director of Pharmacy Administration Phone: 4046163576 |
| Mailing Address | Pharmacy Administration-26041, 80 Jesse Hill Jr Drive Atlanta, GA 30303 United States Phone: (404) 616-3576 | Fax: (404) 616-6070 📍 View Map |
| Primary Practice Address | 341 Ponce De Leon Ave Ne Rm 110 Atlanta, GA 30308-2012 United States Phone: (404) 616-2466 | Fax: (404) 616-9777 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | — | 2131376 | PK |
| MEDICAID | GA | 937307E | — |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 333600000X – Pharmacy | — | — |
| Yes | 3336C0003X – Pharmacy, Community/Retail Pharmacy | GA | 7146 |
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About NPI 1083629638
Grady Memorial Hospital Corporation is an organization registered in the CMS NPPES NPI Registry with NPI number 1083629638. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Atlanta, GA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-07-30. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1083629638?
NPI 1083629638 belongs to Grady Memorial Hospital Corporation, a Pharmacy, Community/Retail Pharmacy in Atlanta, GA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1083629638 active?
The current status of NPI 1083629638 in the NPPES registry is Active. The record was last updated on 2016-12-21.
What specialty is NPI 1083629638?
NPI 1083629638 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1083629638?
You can verify NPI 1083629638 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1083629638?
The primary practice address on file for NPI 1083629638 is 341 Ponce De Leon Ave Ne Rm 110, Atlanta, GA 30308-2012. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1083629638 issued?
NPI 1083629638 was first issued (enumerated) on 2006-07-30. The NPPES record was last updated on 2016-12-21.
Practice Location Map
Grady Memorial Hospital Corporation is located at 341 Ponce De Leon Ave Ne Rm 110, Atlanta, GA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Grady Memorial Hospital Corporation. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1083629638. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy | 7146 | GA |