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PROVIDENCE PHARMACY
NPI 1942436027
Pharmacy - Community/Retail Pharmacy in Fairburn, GA

Active since June 03, 2009
180 W BROAD ST STE A, FAIRBURN, GA 30213(678) 489-2069(678) 489-8627 Get Directions Write a Review

NPPES record last updated: March 11, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 11, 2021, Mar 4, 2021 (2 updates tracked since 2021).

About Providence Pharmacy NPPES

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

PROVIDENCE PHARMACY (NPI 1942436027) is a healthcare organization registered as a community/retail pharmacy in Fairburn, Georgia and active in the NPI registry since June 2009. The organization maintains a secondary practice location in Fairburn and lists Clement Emeka Okpala, Ceo, as its authorized official.

NPPES Registry Identity

NPI1942436027
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePROVIDENCE PHARMACY INC
Location Address180 W BROAD ST STE AFairburn, GA 30213
Mailing Address180 W Broad St Ste AFairburn, GA 30213 · (678) 489-2069 · Fax (678) 489-8627
Phone(678) 489-2069
Fax(678) 489-8627
Organization SubpartNo
Authorized OfficialClement Emeka OkpalaCeo · (678) 489-2069
Enumeration DateJune 3, 2009
Last NPPES UpdateMarch 11, 20212 updates tracked since enumeration
NPPES CertifiedMarch 11, 2021
✔ NPI 1942436027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
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.
180 W BROAD ST STE A, Fairburn, GA 30213
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Other Names 1

Doing Business AsProvidence Pharmacy

Secondary Practice Location 1

Location 1180 W Broad St Ste AFairburn, GA 30213 · Phone (678) 489-2069 · Fax (678) 489-8627

Other Identifiers 1

Medicaid054275159AGA

Accepted Insurance

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

Other Providers at the Same Location NPPES

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

DR. CLEMENT EMEKA OKPALA PHARMD
Pharmacist (Pharmacotherapy)
180 W BROAD ST STE A
FAIRBURN, GA 30213
Fulton County (678) 489-2069

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 Providence Pharmacy Inc's NPI number?

The NPI number for Providence Pharmacy Inc is 1942436027. It was assigned to this organization in the NPPES registry on June 3, 2009. The provider is doing business as Providence Pharmacy.

Where is Providence Pharmacy Inc located?

Providence Pharmacy Inc is located at 180 W Broad St Ste A, Fairburn, GA 30213. The listed phone number is (678) 489-2069.

What is Providence Pharmacy Inc's specialty?

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

What insurance does Providence Pharmacy Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 47 other insurers list Providence Pharmacy Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Providence Pharmacy Inc was last updated on March 11, 2021. 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.