OrganizationActive
Credencerx Specialty Pharmacy
NPI 1528730595 · Specialty Pharmacy · Doraville, GA
Credencerx Specialty Pharmacy is a Specialty Pharmacy organization in Doraville, GA (NPI 1528730595).
Provider details
- NPI number
- 1528730595
- Entity type
- Organization
- Primary specialty
- Specialty PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Andre Ellerby, Member(678) 358-0917
Specialties & taxonomies
Suppliers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
3465 Santa Fe Trl
Doraville, GA 30340-2719
Phone: (678) 358-0917
Street-level locationGet directions
Mailing address
3465 Santa Fe Trl
Doraville, GA 30340-2719
Registry dates
- Enumerated
- 2021-09-29
- Last updated
- 2021-09-29
- Certified
- 2021-09-29
Frequently asked questions
- What is Credencerx Specialty Pharmacy's NPI number?
- Credencerx Specialty Pharmacy's National Provider Identifier (NPI) is 1528730595, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Credencerx Specialty Pharmacy?
- Credencerx Specialty Pharmacy is classified in the NPPES registry as Specialty Pharmacy (Suppliers).
- Where is Credencerx Specialty Pharmacy located?
- Credencerx Specialty Pharmacy's practice location on file with NPPES is 3465 Santa Fe Trl, Doraville, GA 30340-2719.
- What is Credencerx Specialty Pharmacy's phone number?
- The practice phone number listed in the NPPES registry for Credencerx Specialty Pharmacy is (678) 358-0917.
- Who is the authorized official for Credencerx Specialty Pharmacy?
- The authorized official listed on Credencerx Specialty Pharmacy's NPPES record is Andre Ellerby, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Credencerx Specialty Pharmacy's NPI active?
- Yes — Credencerx Specialty Pharmacy's NPI (1528730595) is active in the NPPES registry as of the last update on 2021-09-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.