RUTLEDGE PHARMACY AND MEDICAL SUPPLIES
NPI 1639515380
Pharmacy - Community/Retail Pharmacy in Loganville, GA

Active since May 21, 2013
2470 LEONE AVE STE E, LOGANVILLE, GA 30052(770) 728-9624(770) 728-9729 Get Directions Write a Review

NPPES record last updated: June 19, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Rutledge Pharmacy And Medical Supplies NPPES

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

RUTLEDGE PHARMACY AND MEDICAL SUPPLIES (NPI 1639515380) is a healthcare organization registered as a community/retail pharmacy in Loganville, Georgia and active in the NPI registry since May 2013. The organization lists Christian Ike, President, as its authorized official.

NPPES Registry Identity

NPI1639515380
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameRUTLEDGE PHARMACY AND MEDICAL SUPPLIES LLC
Location Address2470 LEONE AVE STE ELoganville, GA 30052-6147
Mailing Address2470 Leone Ave, Suite ELoganville, GA 30052-6169 · (770) 728-9624 · Fax (770) 728-9729
Fax(770) 728-9729
Organization SubpartNo
Authorized OfficialChristian IkePresident · (770) 265-1740
Enumeration DateMay 21, 2013
Last NPPES UpdateJune 19, 2014
NPI 1639515380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in GA · PHRE009924
Definition

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.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X
2470 LEONE AVE STE E, Loganville, GA 30052

Other Names 1

Doing Business AsRutledge Pharmacy And Medical Supplies

Other Identifiers 1

Other2140429Pk

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 Rutledge Pharmacy And Medical Supplies LLC's NPI number?

The NPI number for Rutledge Pharmacy And Medical Supplies LLC is 1639515380. It was assigned to this organization in the NPPES registry on May 21, 2013. The provider is doing business as Rutledge Pharmacy And Medical Supplies.

Where is Rutledge Pharmacy And Medical Supplies LLC located?

Rutledge Pharmacy And Medical Supplies LLC is located at 2470 Leone Ave Ste E, Loganville, GA 30052. The listed phone number is (770) 728-9624.

What is Rutledge Pharmacy And Medical Supplies LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Rutledge Pharmacy And Medical Supplies LLC was last updated on June 19, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.