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GRADY MEMORIAL HOSPITAL CORPORATION NPI 1619982261


NPI Information

NPI: 1619982261
Provider Name: GRADY MEMORIAL HOSPITAL CORPORATION

Doing Business As: ASA YANCEY HEALTH CENTER PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
1247 DONALD LEE HOLLOWELL PKWY NW
ATLANTA, GA
ZIP 30318
Phone: (404) 616-9951
Get Directions

GRADY MEMORIAL HOSPITAL CORPORATION is a community/retail pharmacy pharmacy in Atlanta, GA. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. GRADY MEMORIAL HOSPITAL CORPORATION NPI is 1619982261. The provider is registered as an organization entity type.
The provider Is Doing Business As Asa Yancey Health Center Pharmacy.

The provider's business location address is:

1247 DONALD LEE HOLLOWELL PKWY NW
ATLANTA, GA
ZIP 30318-657
Phone: (404) 616-9951
Fax: (404) 616-1184

The provider's authorized official is Valaura Hallman .
The authorized official title is Director Of Pharmacy Administration and has the following contact phone number (404) 616-3576.

The enumeration date for this NPI number is 7/30/2006 and was last updated on 2/10/2016.


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
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail Pharmacy004189GEORGIAYes

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
1937307FMEDICAIDGEORGIA
22131380OTHERPK

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

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