Medicine Shoppe

LBN: North Heights Pharmacy Inc
Medicine Shoppe is an health care organization with primary practice located at 411 W 10Th St Ne , Rome GA 30165-2640. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. North Heights Pharmacy Inc can be contacted via phone (706) 295-5712, or through Tate, Grady C via phone (706) 295-5712.

Contact Information

Primary practice address
411 W 10Th St Ne Rome GA 30165-2640
Phone: (706) 295-5712
Fax: (706) 295-3497
Website:
Map and Directions
Authorized official contact:
Name: Tate, Grady C RPH
Phone: (706) 295-5712

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE006126 Georgia
Suppliers / Long Term Care Pharmacy 3336L0003X PHRE006126 Georgia

Profile Details

NPI number 1831128552
LBN Legal business name North Heights Pharmacy Inc
DBA Doing business as Medicine Shoppe
Authorized official Tate, Grady C RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jul 3rd, 2006
Last updated Mar 7th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831128552 NPPES
Georgia Other 1113454 NCPDP #
Georgia MEDICAID 000032656A NCPDP #

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