Gray Drug Co Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE000635 Issued in GA

Legal business name

GRAY DRUG CO INC

Doing business as

Gray Drug Company

Practice address

157 Bill Conn Pkwy
Gray, GA 31032-6349

Phone

(478) 986-3161

Fax

(478) 986-5056

NPI assigned

Mar 14, 2006

Last updated

May 4, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dorothy Walker, PHARM D

Title

President

Phone

(478) 986-3161

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• GRAY DRUG COMPANY Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462320000000",
    "number": "1003884248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 490",
            "city": "GRAY",
            "state": "GA",
            "postal_code": "310320490",
            "telephone_number": "478-986-3161",
            "fax_number": "478-986-5056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 BILL CONN PKWY",
            "city": "GRAY",
            "state": "GA",
            "postal_code": "310326349",
            "telephone_number": "478-986-3161",
            "fax_number": "478-986-5056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAY DRUG CO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2016-05-04",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "478-986-3161",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE000635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000028531A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2012387",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRAY DRUG COMPANY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Goldsberry
• Keller Gordon, PT, DPT
• Kevin Grant, PHARMD
• Gray Dental Associates
• Gray Dental Associates, P.C.
• Gray Family Health LLC
• Alicia Marie Gregory, LMFT
• Thomas Griffin III, D.M.D.
• Andre Guinan, PHARMD
• Sean Hawkins, RPH

• Community/Retail Pharmacy in Gray, GA
• Providers in Gray, GA by specialty
• Community/Retail Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.