NPI age
13 years
Enumerated 2012-09-17
● Active Type 2 · Organization
Peachtree Pharmacy & Medical Supply, Inc.
Peachtree Pharmacy & Medical Supply, Inc. is 1 of 1965 pharmacy organizations in Georgia.
Primary specialty
Pharmacy
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Ekwebelem
Pharmacist/cceo
Last NPPES update
2012-09-17
Source: monthly bulk 2026-05
How this organization compares
Across 1965 active pharmacy providers in Georgia.
NPI age
13 years
↓ 6 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2012 → 2026
2012-09Enumerated in NPPES
2012
2026
Where they practice
Primary practice location
579 Concord Rd Se Ste 900
Smyrna, GA 300822739
Mailing address
579 Concord Rd Se Ste 900
Smyrna, GA 300822739
Authorized official
Paul Ekwebelem
Pharmacist/cceo
📞 4044884525
Specialties
-
Pharmacy PrimaryA 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 1162801 | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Peachtree Pharmacy & Medical Supply, Inc.
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 →
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