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CHEROKEE CUSTOM SCRIPT PHARMACY
NPI 1104960202
Pharmacist in Canton, GA

Active since February 20, 2007
2260 HOLLY SPRINGS PKWY, SUITE 180, CANTON, GA 30115(770) 704-6161 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Cherokee Custom Script Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHEROKEE CUSTOM SCRIPT PHARMACY (NPI 1104960202) is a healthcare organization registered as a pharmacist in Canton, Georgia and active in the NPI registry since February 2007. The organization lists Dale M Coker, Manager Pharmacist In Charge, as its authorized official.

NPPES Registry Identity

NPI1104960202
Entity TypeOrganization
Primary Taxonomy183500000X
Legal Business NameWELLPHARM LLC
Location Address2260 HOLLY SPRINGS PKWY, SUITE 180Canton, GA 30115-9580
Mailing Address2260 Holly Springs Pkwy, Suite 180Canton, GA 30115-9580 · (770) 704-6161
Phone(770) 704-6161
Organization SubpartNo
Authorized OfficialDale M CokerManager Pharmacist In Charge · (770) 704-6161
Enumeration DateFebruary 20, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1104960202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in GA · PHRE008814
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
2260 HOLLY SPRINGS PKWY, Canton, GA 30115
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Other Names 1

Doing Business AsCherokee Custom Script Pharmacy

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cherokee Custom Script Pharmacy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateGeorgiaEnrollment IDO20220104001755Non-DME Part B · Mass Immunization (Roster Biller Only)Due dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wellpharm LLC's NPI number?

The NPI number for Wellpharm LLC is 1104960202. It was assigned to this organization in the NPPES registry on February 20, 2007. The provider is doing business as Cherokee Custom Script Pharmacy.

Where is Wellpharm LLC located?

Wellpharm LLC is located at 2260 Holly Springs Pkwy Suite 180, Canton, GA 30115. The listed phone number is (770) 704-6161.

What is Wellpharm LLC's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

Is Wellpharm LLC enrolled in Medicare?

Yes. Wellpharm LLC is registered in the Medicare PECOS enrollment system.

When is Wellpharm LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Georgia, Mass Immunization (Roster Biller Only)) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

When was this NPI record last updated?

The NPPES record for Wellpharm LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.