Heather Ivy Society
NPI 1902713662ActiveOrganization· Pharmacy· Atlanta, GA
Pharmacy in Atlanta, Georgia, registered in NPPES in August 2026, part of Heather Ivy Society. The authorized official on file is Zandraetta Tims Cook, Executive Director.
Overview
| NPI | 1902713662 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Heather Ivy Society |
| NPI issued | Aug 26, 2026 |
| Last updated in NPPES | Aug 26, 2026 |
| Certified by provider | Aug 26, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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