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NPI Code Detail

MEDICARE: PHARMACEUTICAL SPECIALTIES LLC

MEDICARE: PHARMACEUTICAL SPECIALTIES LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336C0003XCommunity/Retail Pharmacy64001645AIN
23336C0003XCommunity/Retail Pharmacy054020194IL
33336C0003XCommunity/Retail PharmacyGA1819KY
43336C0003XCommunity/Retail Pharmacy44091MSID
53336C0003XCommunity/Retail PharmacyY007057AZ
6332B00000XDurable Medical Equipment & Medical Supplies
73336C0003XCommunity/Retail PharmacyOSP.0006308CO
83336C0003XCommunity/Retail Pharmacy22-101589KS
93336S0011XSpecialty Pharmacy
103336C0003XCommunity/Retail Pharmacy117770AK
113336C0003XCommunity/Retail PharmacyPMP1375HI
123336C0003XCommunity/Retail PharmacyPHHH000053GA
133336C0003XCommunity/Retail Pharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
22015157OTHERPK
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598872210
Entity Type Code : Organization
Provider Name (Legal Business Name) : PHARMACEUTICAL SPECIALTIES LLC
Provider Business Mailing Address
First Line : PO BOX 1353
Second Line :
City : AMARILLO
State : TX
Zip : 79105-1353
Country : US
Telephone Number : 806-242-7782
Fax Number : 706-621-7263
Provider Business Practice Location Address
First Line : 150 CLEVELAND RD STE B
Second Line :
City : BOGART
State : GA
Zip : 30622-1701
Country : US
Telephone Number : 800-818-6486
Fax Number : 706-621-7263
Authorized Official
Title or Position : PRESIDENT, PHARMACY SERVICES
Name : JOEL WRIGHT
Credential :
Telephone Number : 806-242-7782
Provider Enumeration Date : 08/25/2006
Last Update Date : 03/05/2026

Similar Medicare Providers

1265464705 — PHARMACEUTICAL SPECIALTIES LLC
Practice Location Address:
150 CLEVELAND RD , STE A
BOGART, GA
30622-1701
Practice Phone: 706-369-9591
Practice Fax: 706-369-9698
1588978126 — DR. GREGORY BRIAN SEAGRAVES PHARM D
Practice Location Address:
150 CLEVELAND RD , SUITE A
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30622-1701
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1265711691 — DR. JIMMY LEE LOUDERMILK PHARMD
Practice Location Address:
150 CLEVELAND RD
BOGART, GA
30622-1701
Practice Phone: 180-081-8648
Practice Fax:
1285988055 — DR. DANIEL LOPER RPH, DVM
Practice Location Address:
150 CLEVELAND RD
BOGART, GA
30622-1701
Practice Phone: 706-369-9591
Practice Fax:
1437549029 — WILLIAM DAVID WHITE PHARM D
Practice Location Address:
150 CLEVELAND RD , STE B
BOGART, GA
30622-1701
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Practice Fax: 706-369-9698
1932630126 — PHARMACEUTICAL SPECIALTIES LLC
Practice Location Address:
150 CLEVELAND RD STE B
BOGART, GA
30622-1701
Practice Phone: 800-818-6486
Practice Fax: 706-621-7263

Directions to “PHARMACEUTICAL SPECIALTIES LLC ” Practice Location

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