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PROFESSIONAL MEDICAL PHARMACY
NPI 1245375070
Pharmacist in Stone Mountain, GA

Active since February 20, 2007
4859C MEMORIAL DR, STONE MOUNTAIN, GA 30083(404) 299-7372(404) 508-9225 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Professional Medical Pharmacy NPPES

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

PROFESSIONAL MEDICAL PHARMACY (NPI 1245375070) is a healthcare organization registered as a pharmacist in Stone Mountain, Georgia and active in the NPI registry since February 2007. The organization lists William Pernell, Administrator, as its authorized official.

NPPES Registry Identity

NPI1245375070
Entity TypeOrganization
Primary Taxonomy183500000X
Legal Business NamePROFESSIONAL MEDICAL PHARMACY
Location Address4859C MEMORIAL DRStone Mountain, GA 30083-4175
Mailing Address4859c Memorial DrStone Mountain, GA 30083-4175 · (404) 299-7372 · Fax (404) 508-9225
Phone(404) 299-7372
Fax(404) 508-9225
Organization SubpartNo
Authorized OfficialWilliam PernellAdministrator · (404) 299-7372
Enumeration DateFebruary 20, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1245375070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in GA · RPH017641
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.
4859C MEMORIAL DR, Stone Mountain, GA 30083
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Other Identifiers 2

Medicaid00814888BGA
Medicaid00814888AGA

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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PROFESSIONAL MEDICAL HOME HEALTHCARE INC.
Durable Medical Equipment & Medical Supplies
4859C MEMORIAL DR
STONE MOUNTAIN, GA 30083
Dekalb County (404) 292-9190

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 Professional Medical Pharmacy's NPI number?

The NPI number for Professional Medical Pharmacy is 1245375070. It was assigned to this organization in the NPPES registry on February 20, 2007.

Where is Professional Medical Pharmacy located?

Professional Medical Pharmacy is located at 4859C Memorial Dr, Stone Mountain, GA 30083. The listed phone number is (404) 299-7372.

What is Professional Medical Pharmacy's specialty?

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

When was this NPI record last updated?

The NPPES record for Professional Medical Pharmacy 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 5 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.