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NORTHEAST GEORGIA MEDICAL CENTER INC. NPI 1124183355


NPI Information

NPI: 1124183355
Provider Name: NORTHEAST GEORGIA MEDICAL CENTER, INC.

Doing Business As: DBA NGMC PHARMACY

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
825 JESSE JEWELL PKWY SE
SUITE D
GAINESVILLE, GA
ZIP 30501
Phone: (770) 538-7559
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NORTHEAST GEORGIA MEDICAL CENTER, INC. is a long term care pharmacy pharmacy in Gainesville, GA. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. NORTHEAST GEORGIA MEDICAL CENTER, INC. NPI is 1124183355. The provider is registered as an organization entity type.
The provider Is Doing Business As Dba Ngmc Pharmacy.

The provider's business location address is:

825 JESSE JEWELL PKWY SE
SUITE D
GAINESVILLE, GA
ZIP 30501-830
Phone: (770) 538-7559

The provider's authorized official is Brian D Steines .
The authorized official title is Cfo and has the following contact phone number (770) 219-3562.

The enumeration date for this NPI number is 12/27/2006 and was last updated on 3/7/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336L0003XPharmacyLong Term Care PharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11119987OTHERGEORGIANCPDP
200608583AMEDICAIDGEORGIA
3PHRE007738OTHERGEORGIASTATE LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.