Blossom Pharmacy LLC
NPI 1710363114 · Community/Retail Pharmacy · Powder Springs, GA
Enrolled with Medicare as Part B Supplier - Mass Immunization (roster Biller Only) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Blossom Pharmacy LLC is a Community/Retail Pharmacy organization in Powder Springs, GA (NPI 1710363114).
Provider details
- NPI number
- 1710363114
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Benjamin Emareyo, Pharmacy Manager(678) 217-5645
- License
- PHRE010164 (GA)
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
Mailing address
Registry dates
- Enumerated
- 2015-08-07
- Last updated
- 2024-03-16
- Certified
- 2024-03-16
Frequently asked questions
- What is Blossom Pharmacy LLC's NPI number?
- Blossom Pharmacy LLC's National Provider Identifier (NPI) is 1710363114, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Blossom Pharmacy LLC?
- Blossom Pharmacy LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Blossom Pharmacy LLC located?
- Blossom Pharmacy LLC's practice location on file with NPPES is 5780 C H James Pkwy Ste 230, Powder Springs, GA 30127-6077.
- What is Blossom Pharmacy LLC's phone number?
- The practice phone number listed in the NPPES registry for Blossom Pharmacy LLC is (678) 217-5645.
- Does Blossom Pharmacy LLC accept Medicare?
- Blossom Pharmacy LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Blossom Pharmacy LLC?
- The authorized official listed on Blossom Pharmacy LLC's NPPES record is Benjamin Emareyo, Pharmacy Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Blossom Pharmacy LLC's NPI active?
- Yes — Blossom Pharmacy LLC's NPI (1710363114) is active in the NPPES registry as of the last update on 2024-03-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.