1649436858 NPI number — SHARPE MCCOOK PHARMACY INC.

Table of content: SRAVANTI AMBATI (NPI 1780968222)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1649436858 NPI number — SHARPE MCCOOK PHARMACY INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SHARPE MCCOOK PHARMACY INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
U SAVE IT PHARMACY FRANKLIN
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1649436858
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/25/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 527
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ALBANY
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
31702-0527
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
229-435-4571
Provider Business Mailing Address Fax Number:
229-435-4734

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
20 FRANKLIN PLAZA DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FRANKLIN
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28734-3204
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-524-0156
Provider Business Practice Location Address Fax Number:
828-524-3022
Provider Enumeration Date:
08/07/2008

Additional Information

Authorized Official

Authorized Official Last Name:
NORMAN
Authorized Official First Name:
PAULA
Authorized Official Middle Name:
Authorized Official Title or Position:
CORPORATE SECRETARY
Authorized Official Telephone Number:
229-435-4571

Provider Taxonomy Codes

  • Taxonomy code: 3336C0003X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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