Georgia Cvs Pharmacy LLC
Georgia Cvs Pharmacy LLC is a healthcare organization registered as Pharmacy in Canton, GA, holding Type 2 (organization) NPI 1154424992 since 2006. The authorized official on file is Susan Colbert, Director, Payer Relations.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1154424992 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Georgia Cvs Pharmacy LLC |
| Other name | <Unavail> |
| Practice address | 129 MARIETTA HWY, Canton, GA, 30114 |
| Phone | 7704791806 |
| Enumeration date | 2006-09-07 |
| Last updated in NPPES | 2012-03-07 |
Authorized official
| Name | Susan Colbert |
|---|---|
| Title | Director, Payer Relations |
| Phone | 4017702751 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 3336C0003X | Community/Retail Pharmacy | Secondary | — | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | GA |
| 333600000X | Pharmacy | Primary | 006310 | GA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1128328 | Other | — | OTHER ID NUMBER-COMMERCIAL NUMBER |
| 000288131A | Medicaid | GA | — |
Copy-ready billing details
Provider: Georgia Cvs Pharmacy LLC NPI: 1154424992 Taxonomy: 333600000X (Pharmacy) Address: 129 MARIETTA HWY, Canton, GA, 30114
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1851982268 | Behnaz Samimi Darzikolaei | Individual | Pharmacist | Canton, GA |
| 1952992968 | Aziza Dang | Individual | Pharmacist | Canton, GA |
| 1346046505 | MD Mahbubur Rahman | Individual | Pharmacist | Canton, GA |
| 1568263846 | Khine Ko Ko | Individual | Pharmacist | Canton, GA |
Verify this record
Cross-check NPI 1154424992 against the authoritative CMS record: view Georgia Cvs Pharmacy LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Georgia Cvs Pharmacy LLC located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2012-03-07.