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NPI 1164199311
● Active Type 2 · Organization
Dekalb Community Service Board
Pharmacy · Decatur, GA · NPI 1164199311
·
Enumerated 2021 · 4 years on NPI
Dekalb Community Service Board is 1 of 26 pharmacy organizations in Georgia.
NPI age
4 years
Enumerated 2021-08-25
Primary specialty
Pharmacy
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Van Der Merwe
Ceo
Last NPPES update
2021-08-25
Source: monthly bulk 2026-05
How this organization compares
Across 26 active pharmacy providers in Georgia.
NPI age
4 years
↓ 10 yr below median
Practice locations
1
0 secondary on file
NPI lifetime · 2021 → 2026
2021-08 Enumerated in NPPES
2021
2026
Where they practice
Primary practice location
450 Winn Way
Decatur, GA 300301715
📞 4045087774
Mailing address
445 Winn Way Fl 4
Decatur, GA 300301707
📞 4042943836
Authorized official
Fabio Bruno Van Der Merwe
Ceo
📞 4042943836
Individual providers at this organization
20 individual providers on file at this primary practice address.
Theodore Anfinson , M.D.
Psychiatry & Neurology
NPI 1992838718
Henry Anyanwu
Registered Nurse
NPI 1790404408
Brenda Armando , RN, BSN
Registered Nurse
NPI 1043434632
Jullie Assavedo , RN
Religious Nonmedical Nursing Personnel
NPI 1508084161
James Cabble
Social Worker
NPI 1386130078
Brenda Cibulas , APRN, BC, CGP
Clinical Nurse Specialist
NPI 1003031097
Lorraine Corley , LCSW
Social Worker
NPI 1316185374
Katrina Crider , LCSW
Social Worker
NPI 1346903903
Patricia Dare , APRN, PMHNP-BC
Nurse Practitioner
NPI 1043383607
Helenie Davis , RN
Registered Nurse
NPI 1952544041
Daniel Emah , RN
Registered Nurse
NPI 1639819998
Paula Gibbons , RN
Registered Nurse
NPI 1568687226
Robert Glick , MA
Counselor
NPI 1558928796
Sara Grimsley , PHARM.D.
Pharmacist
NPI 1346411899
Lisa Guest
Counselor
NPI 1811365679
Esther Harbert , M.D.
Psychiatry & Neurology
NPI 1306978663
Brianne Harper
Registered Nurse
NPI 1851025746
Linda Hogan , RN
Registered Nurse
NPI 1780809855
Lesa Hopkins , RN
Registered Nurse
NPI 1063624906
Iris Hudson , R.N.
Registered Nurse
NPI 1396963427
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Practice context
Multi-provider organization.
20 individual providers on file at this primary address.
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How to verify this organization
Confirm the NPI on NPPES. The CMS registry is the system of record. Open NPPES →
Verify the organization is in good standing. Cross-check with the state's business registration and any applicable licensing boards.
Confirm payer enrollment if billing. NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.