BUDD TERRACE PHARMACY
NPI 1255683843
Pharmacy - Long Term Care Pharmacy in Atlanta, GA

Q: What is the provider's specialty?

The provider's specialty is Pharmacy with taxonomy code 3336L0003X and a focus in Long Term Care Pharmacy.

Active since October 08, 2012CLIA 11D0677698 · Waiver

1833 CLIFTON RD NE, ROOM 115, ATLANTA, GA 30329(404) 728-6807 Get Directions Write a Review

NPPES record last updated: October 8, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Budd Terrace Pharmacy NPPES

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

BUDD TERRACE PHARMACY (NPI 1255683843) is a healthcare organization registered as a long term care pharmacy in Atlanta, Georgia and active in the NPI registry since October 2012. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Michael Hanichen, Director Of Pharmacy, as its authorized official.

NPPES Registry Identity

NPI1255683843

Entity TypeOrganization

Primary Taxonomy3336L0003X

Legal Business NameBUDD TERRACE PHARMACY

Location Address1833 CLIFTON RD NE, ROOM 115Atlanta, GA 30329-4021

Mailing Address1833 Clifton Rd Ne, Room 115Atlanta, GA 30329-4021

Phone(404) 728-6807

Organization SubpartNo

Authorized OfficialMichael HanichenDirector Of Pharmacy · (404) 728-6807

Enumeration DateOctober 8, 2012

✔ NPI 1255683843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers

Taxonomy Code3336L0003X

License✔ Licensed in GA · PHRE009863

Definition

A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

1833 CLIFTON RD NE, Atlanta, GA 30329

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Other Identifiers 2

OtherPHRE009863GA · Georgia Board Of Pharmacy

OtherFB3481998Controlled Substance Registration Certificate

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D0677698

Budd Terrace On The Wesley Woods Campus · Atlanta, GA

Active · expires Aug 31, 2026

CLIA Number11D0677698

Laboratory TypeSkilled Nursing Facility/Nursing Facility

Certificate Effective DateSeptember 1, 2024

Certificate Expiration DateAugust 31, 2026

Laboratory DirectorJames C. Ritchie

Laboratory Phone(404) 728-6500

Laboratory LocationBudd Terrace On The Wesley Woods Campus1833 Clifton Road NE, Atlanta, GA 30329

CLIA data matches this NPI record on: Address

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 16

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

CHANDRA WILEY

Occupational Therapist