NPI age
4 years
Enumerated 2021-09-29
● Active Type 2 · Organization
Credencerx Specialty Pharmacy
Credencerx Specialty Pharmacy is 1 of 38 pharmacy organizations in Georgia.
Primary specialty
Pharmacy
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Ellerby
Member
Last NPPES update
2021-09-29
Source: monthly bulk 2026-05
How this organization compares
Across 38 active pharmacy providers in Georgia.
NPI age
4 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2021 → 2026
2021-09Enumerated in NPPES
2021
2026
Where they practice
Primary practice location
3465 Santa Fe Trl
Doraville, GA 303402719
Mailing address
3465 Santa Fe Trl
Doraville, GA 303402719
Authorized official
Andre Ellerby
Member
📞 6783580917
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...
Practice context
Single-site organization. Only one practice location on file.
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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.