Provider Demographics
NPI:1295174407
Name:MEI SERVICES, INC
Entity type:Organization
Organization Name:MEI SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BOGACHEK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-592-0585
Mailing Address - Street 1:2951 PIEDMONT RD NE
Mailing Address - Street 2:SUITE B
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30305-2787
Mailing Address - Country:US
Mailing Address - Phone:404-592-0585
Mailing Address - Fax:404-549-3034
Practice Address - Street 1:2951 PIEDMONT RD NE
Practice Address - Street 2:SUITE B
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30305-2787
Practice Address - Country:US
Practice Address - Phone:404-592-0585
Practice Address - Fax:404-549-3034
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-20
Last Update Date:2018-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPHRE0099193336S0011X, 3336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS14523/7.1OtherBOARD OF PHARMACY
SC7G9919Medicaid
1279850003OtherNSC
KY7100486280Medicaid
GA003135705AMedicaid
GAPHRE009919OtherBOARD OF PHARMACY
AK1674311Medicaid
MT1295174407Medicaid