| NPI | 1417508789 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2019-09-26 |
| Last Updated | 2022-03-25 |
| Authorized Official | David Lowery President Phone: 7063402456 |
| Mailing Address | Po Box 10426 Warner Robins, GA 31095-5426 United States Phone: (478) 749-9120 📍 View Map |
| Primary Practice Address | 5300 Bowman Road Rm A Macon, GA 31210-6583 United States Phone: (478) 749-9120 | Fax: (478) 749-9121 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | GA | 003225637A | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 3336C0003X – Pharmacy, Community/Retail Pharmacy | - | - |
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About NPI 1417508789
Elite Apothecary Services, Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1417508789. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Macon, GA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2019-09-26. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1417508789?
NPI 1417508789 belongs to Elite Apothecary Services, Llc, a Pharmacy, Community/Retail Pharmacy in Macon, GA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1417508789 active?
The current status of NPI 1417508789 in the NPPES registry is Active. The record was last updated on 2022-03-25.
What specialty is NPI 1417508789?
NPI 1417508789 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 1417508789?
You can verify NPI 1417508789 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 1417508789?
The primary practice address on file for NPI 1417508789 is 5300 Bowman Road Rm A, Macon, GA 31210-6583. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1417508789 issued?
NPI 1417508789 was first issued (enumerated) on 2019-09-26. The NPPES record was last updated on 2022-03-25.
Practice Location Map
Elite Apothecary Services, Llc is located at 5300 Bowman Road Rm A, Macon, 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 Elite Apothecary Services, Llc. All records sourced from the CMS NPPES registry.