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PEACHTREE PHARMACY & MEDICAL SUPPLY, INC.
NPI 1982954095
Pharmacy - Community/Retail Pharmacy in Smyrna, GA

Active since September 17, 2012
579 CONCORD RD SE STE 900, SMYRNA, GA 30082(770) 405-8664(770) 405-8663 Get Directions Write a Review

NPPES record last updated: September 17, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Peachtree Pharmacy & Medical Supply, Inc. NPPES

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

PEACHTREE PHARMACY & MEDICAL SUPPLY, INC. (NPI 1982954095) is a healthcare organization registered as a community/retail pharmacy in Smyrna, Georgia and active in the NPI registry since September 2012. The organization lists Paul Ekwebelem, Pharmacist/cceo, as its authorized official.

NPPES Registry Identity

NPI1982954095
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePEACHTREE PHARMACY & MEDICAL SUPPLY, INC.
Location Address579 CONCORD RD SE STE 900Smyrna, GA 30082-2739
Mailing Address579 Concord Rd Se Ste 900Smyrna, GA 30082-2739 · (770) 405-8664 · Fax (770) 405-8663
Phone(770) 405-8664
Fax(770) 405-8663
Organization SubpartNo
Authorized OfficialPaul EkwebelemPharmacist/cceo · (404) 488-4525
Enumeration DateSeptember 17, 2012
✔ NPI 1982954095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in GA · PHRE009856
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.

579 CONCORD RD SE STE 900, Smyrna, GA 30082
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Other Names 1

Doing Business AsPeachtree Pharmacy & Medical Supply, Inc.

Other Identifiers 1

Other1162801Ncpdp Provider Identification Number

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 Peachtree Pharmacy & Medical Supply, Inc.'s NPI number?

The NPI number for Peachtree Pharmacy & Medical Supply, Inc. is 1982954095. It was assigned to this organization in the NPPES registry on September 17, 2012.

Where is Peachtree Pharmacy & Medical Supply, Inc. located?

Peachtree Pharmacy & Medical Supply, Inc. is located at 579 Concord Rd SE Ste 900, Smyrna, GA 30082. The listed phone number is (770) 405-8664.

What is Peachtree Pharmacy & Medical Supply, Inc.'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 Peachtree Pharmacy & Medical Supply, Inc. was last updated on September 17, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.