PONCE INFECTIOUS DISEASE CENTER PHARMACY
NPI 1639203110
Pharmacy - Community/Retail Pharmacy in Atlanta, GA

NPI Status: Active since March 15, 2007

Contact Information

341 PONCE DE LEON AVE NE
ATLANTA, GA
ZIP 30308
Phone: (404) 616-9783

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  • Organization
  • Pharmacy
  • Community/Retail Pharmacy

About PONCE INFECTIOUS DISEASE CENTER PHARMACY

This page provides the complete NPI Profile along with additional information for Ponce Infectious Disease Center Pharmacy, a provider established in Atlanta, Georgia operating as a Pharmacy, focusing in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1639203110 assigned on March 2007. The practitioner's primary taxonomy code is 3336C0003X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Ms. Valaura D. Hallman Rph (Director Of Pharmacy)

NPI
1639203110
Provider Name
PONCE INFECTIOUS DISEASE CENTER PHARMACY
Entity Type
Organization
Location Address
341 PONCE DE LEON AVE NE ATLANTA, GA 30308
Location Phone
(404) 616-9783
Mailing Address
80 JESSE HILL JR DR SE PO BOX 26041 ATLANTA, GA 30303
Mailing Phone
(404) 616-3576
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-15-2007
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacy Community/Retail Pharmacy

Taxonomy Code
3336C0003X
Type
Suppliers
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. VALAURA D. HALLMAN RPH

Authorized Official Title
DIRECTOR OF PHARMACY
Authorized Official Phone
(404) 616-3576

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
855CMEDICAID (05)GA 
GA 7146OTHER (01)GAPHARMACY LICENSE

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1639203110
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
266940612
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 4 + 0 + 6 + 1 + 2 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1639203110 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1841241502MR. ERIC L BOYETTE NP
Individual
Nurse Practitioner (Adult Health)341 PONCE DE LEON AVE NE
ATLANTA, GA 30308
(404) 616-9719
1548376254DR. JEFFREY LLOYD LENNOX M.D.
Individual
Internal Medicine (Infectious Disease)341 PONCE DE LEON AVE NE
ATLANTA, GA 30308
(404) 616-2493
1720190309DR. LAURA NICHOLE BROYLES MD
Individual
Internal Medicine (Infectious Disease)341 PONCE DE LEON AVE NE
ATLANTA, GA 30308
(404) 616-6304
1740386986 IRA K SCHWARTZ MD
Individual
Family Medicine341 PONCE DE LEON AVE NE
ATLANTA, GA 30308
(404) 616-9786
1780780593DR. EDWARD LAMONTE AIKENS M.D.
Individual
Internal Medicine341 PONCE DE LEON AVE NE
ATLANTA, GA 30308
(404) 616-9782
1427155498 JULIETTE MORGAN M.D.
Individual
Internal Medicine (Infectious Disease)341 PONCE DE LEON AVE NE
ATLANTA, GA 30308
(404) 616-2440
1053412171 NEIL E WHICKER M.D.
Individual
Psychiatry & Neurology (Psychiatry)341 PONCE DE LEON AVE NE
ATLANTA, GA 30308
(404) 616-2440
1093800047 CARLOS A DIAZGRANADOS M.D.
Individual
Internal Medicine (Infectious Disease)341 PONCE DE LEON AVE NE
ATLANTA, GA 30308
(404) 616-2440
1699844514 MICHELLE R BROTH PHD
Individual
Psychologist (Clinical)341 PONCE DE LEON AVE NE
ATLANTA, GA 30308
(404) 616-9830
1619037538 EUGENE FARBER PH. D.
Individual
Psychologist341 PONCE DE LEON AVE NE
ATLANTA, GA 30308
(404) 616-6862
1366570269 MARYLYN A. ADAMSKI PA-C
Individual
Physician Assistant (Medical)341 PONCE DE LEON AVE NE
ATLANTA, GA 30308
(404) 616-9748
1356556740DR. DAVID ALAN REZNIK D.D.S.
Individual
Dentist341 PONCE DE LEON AVE NE
ATLANTA, GA 30308
(404) 616-9770
1588860472DR. RUPALI K DOSHI MD
Individual
Internal Medicine341 PONCE DE LEON AVE NE
ATLANTA, GA 30308
(404) 616-2440
1174720825 HAMMOND SPENCER WADDELL R.D.H.
Individual
Dental Hygienist341 PONCE DE LEON AVE NE
ATLANTA, GA 30308
(404) 616-9772
1073798138DR. ANTHONY ERNEST ROZIER JR. D.D.S.
Individual
Dentist (General Practice)341 PONCE DE LEON AVE NE ORAL HEALTH CENTER
ATLANTA, GA 30308
(404) 616-9772
1891970760DR. SCOTT JAY FILLER MD
Individual
Specialist341 PONCE DE LEON AVE NE
ATLANTA, GA 30308
(404) 616-2440
1912174228MS. MARJORIE CAROL DIXON RDH
Individual
Dental Hygienist341 PONCE DE LEON AVE NE
ATLANTA, GA 30308
(404) 616-9772
1790923571MS. EVA WILLIAMS FNP, MPH
Individual
Nurse Practitioner (Family)341 PONCE DE LEON AVE NE
ATLANTA, GA 30308
(404) 616-9766
1679712871 STEVEN TERRY PA-C
Individual
Physician Assistant341 PONCE DE LEON AVE NE
ATLANTA, GA 30308
(404) 616-2440
1912238007DR. CHANDA COTTINGHAM GRAVES PH.D.
Individual
Psychologist341 PONCE DE LEON AVE NE
ATLANTA, GA 30308
(404) 616-9830

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639203110, enumerated in the NPI registry as an "organization" on March 15, 2007

The provider is located at 341 Ponce De Leon Ave Ne Atlanta, Ga 30308 and the phone number is (404) 616-9783

This medical organization specializes in Pharmacy with taxonomy code 3336C0003X with a focus in Community/Retail Pharmacy

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on March 15, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.