Organization
ATHENS MODEL NEIGHBORHOOD HEALTH CENTER INC
Active
Other names
Athens Neighborhood Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SAMAN KAZEMI (PHARMACY DIRECTOR)
(706) 543-1145
Entity
Organization
Contact information
Practice address
402 MCKINLEY DR, ATHENS, GA 30601-3261
(706) 850-8057
(706) 549-0056
Mailing address
402 MCKINLEY DR, ATHENS, GA 30601-3261
(706) 543-1145
(706) 549-0056
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE010127
GA
3336C0003X
Community/Retail Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2151280
PK
—
Enumeration date
09/19/2014
Last updated
06/10/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up