1700981255 NPI number — ALLIED PHARMACY CONSULTANTS INC

Table of content: (NPI 1700981255)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1700981255 NPI number — ALLIED PHARMACY CONSULTANTS INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ALLIED PHARMACY CONSULTANTS 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:
ALLIED PHARMACY CONSULTANTS
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:
1700981255
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/14/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1845 LOCKEWAY DR
Provider Second Line Business Mailing Address:
SUITE 402
Provider Business Mailing Address City Name:
ALPHARETTA
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30004-5936
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
770-886-2426
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1845 LOCKEWAY DR
Provider Second Line Business Practice Location Address:
SUITE 402
Provider Business Practice Location Address City Name:
ALPHARETTA
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30004-5936
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
770-664-2866
Provider Business Practice Location Address Fax Number:
770-664-2868
Provider Enumeration Date:
09/13/2006

Additional Information

Authorized Official

Authorized Official Last Name:
RESPESS
Authorized Official First Name:
ROBERT
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER AND PHARMACIST
Authorized Official Telephone Number:
850-654-1772

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 333600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3336C0003X , with the licence number: PHRE008098 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 000739901C , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000739901A , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1143813 . This is a "NCPDP PROVIDER IDENTIFICATION NUMBER" identifier . This identifiers is of the category "OTHER".
  • Identifier: 000739901D , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".




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