OrganizationActive
Community Ancillary Services, Inc.
NPI 1235121617 · Long Term Care Pharmacy · Acworth, GA
Provider details
- NPI number
- 1235121617
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- James Lee, Senior Vice President(478) 783-1515
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4769 S Main St
Acworth, GA 30101-5339
Phone: (770) 974-4277
Fax: (770) 974-4208
Street-level locationGet directions
Mailing address
Po Box 1038
Acworth, GA 30101-8938
Other names (DBA / former)
- Doing business as
- Eldercare Pharmacy
Registry dates
- Enumerated
- 2005-08-22
- Last updated
- 2021-03-11
- Certified
- 2021-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.