NPI age
16 years
Enumerated 2009-11-09
● Active Type 2 · Organization
Specialty Pharmacy & Compounding
Specialty Pharmacy & Compounding is 1 of 38 pharmacy organizations in Georgia.
Primary specialty
Pharmacy
Plus 2 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Callosoe
Secretary
Last NPPES update
2009-11-09
Source: monthly bulk 2026-05
How this organization compares
Across 38 active pharmacy providers in Georgia.
NPI age
16 years
↑ 7 yr above median
Practice locations
1
0 secondary on file
Subspecialties
2
In the 73% of peers with subspecialties
NPI lifetime · 2009 → 2026
2009-11Enumerated in NPPES
2009
2026
Where they practice
Primary practice location
650 Henderson Dr, Suite 508
Cartersville, GA 301203744
Mailing address
650 Henderson Dr, Suite 508
Cartersville, GA 301203744
Authorized official
Kevin Callosoe
Secretary
📞 7705966998
Individual providers at this organization
8 individual providers on file at this primary practice address.
- Pamela Bridgeman, LCSW Social Worker NPI 1336372424
- Robin Buchkowski, D.C. Chiropractor NPI 1831220045
- Corey Gibson, D.P.T Physical Therapist NPI 1235426909
- Andwele Jolly, PT Physical Therapist NPI 1518148725
- Amna Khan, LMSW Counselor NPI 1932666468
- Emily Miller, DPT Physical Therapist NPI 1508087222
- Larcie Richardson, PT Physical Therapist NPI 1467620492
- Michele Sperl, PT Physical Therapist NPI 1851460844
Specialties
-
Pharmacy PrimaryA pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these...
-
PharmacyA facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally...
-
PharmacyA 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...
Practice context
Multi-provider organization. 8 individual providers on file at this primary address.
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- 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.