COLISEUM PARK PROFESSIONAL PHARMACY
NPI 1912976630
Pharmacy in Macon, GA

Q: What is Moodycare Inc.'s NPI number?

The NPI number for Moodycare Inc. is 1912976630. It was assigned to this organization in the NPPES registry on March 15, 2006. The provider is doing business as Coliseum Park Professional Pharmacy.

Q: What is Moodycare Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Q: When was this NPI record last updated?

The NPPES record for Moodycare Inc. 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.

Active since March 15, 2006

380 HOSPITAL DR., STE 175-A, MACON, GA 31217(478) 745-5431(478) 765-4359 Get Directions Write a Review

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

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About Coliseum Park Professional Pharmacy NPPES

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

COLISEUM PARK PROFESSIONAL PHARMACY (NPI 1912976630) is a healthcare organization registered as a pharmacy in Macon, Georgia and active in the NPI registry since March 2006. The organization lists Robert Benjamin Moody, President, as its authorized official.

NPPES Registry Identity

NPI1912976630

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameMOODYCARE INC.

Location Address380 HOSPITAL DR., STE 175-AMacon, GA 31217

Mailing Address380 Hospital Dr., Ste 175-aMacon, GA 31217 · (478) 745-5431 · Fax (478) 765-4359

Phone(478) 745-5431

Fax(478) 765-4359

Organization SubpartNo

Authorized OfficialRobert Benjamin MoodyPresident · (478) 745-5431

Enumeration DateMarch 15, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1912976630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

License✔ Licensed in GA · PHRE004996

Definition

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

380 HOSPITAL DR., Macon, GA 31217

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Other Names 1

Doing Business AsColiseum Park Professional Pharmacy

Other Identifiers 1

Other1122376Ncpdp Or Nabp Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc. and more.Insurance ›

Other Providers at the Same Location NPPES 8

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

ANGELA D JENKINS I CRNA

Nurse Anesthetist, Certified Registered

380 HOSPITAL DR., STE 410
MACON, GA 31217

Bibb County (478) 746-5644

DR. DAVID WENDELL MCKINNEY MD

Anesthesiology