Organization Active NPI

Bedingfield Pharmacy, Inc

  • Community/Retail Pharmacy
  • Pembroke, GA
National Provider Identifier
1003912304
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
02833 Issued in GA
Legal business name
BEDINGFIELD PHARMACY, INC
Practice address
83 W Railroad St, Suite B
Pembroke, GA 31321
Phone
(912) 653-4596
Fax
(912) 653-4585
NPI assigned
Sep 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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

Authorized official

Name
Teresa F Smith, RPHNPI 1114022308
Title
Chief Pharmacist
Phone
(912) 653-4596

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 00021832B GA
Community/Retail Pharmacy 3336C0003X 02833 GA Primary

Addresses

Primary practice location

83 W Railroad St, Suite B
Pembroke, GA 31321

Mailing address

83 W Railroad St, Suite B
PO Box 326
Pembroke, GA 31321
Phone (912) 653-4596

Other identifiers 1

IdentifierTypeStateIssuer
00021832AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20091023000015 GA Part B Supplier - Mass Immunization (Roster Biller Only) 3779620737 Practice locations: Pembroke, GA
O20100930088492 GA DME Supplier - PharmacyDME Supplier - Orthotic Personnel 3779620737 Practice locations: Pembroke, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Bedingfield Pharmacy Inc83 W Railroad St, Pembroke, GA 31321-3380(912) 653-4596 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Nebulizer Equipment and/or Supplies Does not accept assignmentParticipating since Mar 1, 1975

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771545600000",
    "number": "1003912304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 W RAILROAD ST, SUITE B",
            "address_2": "PO BOX 326",
            "city": "PEMBROKE",
            "state": "GA",
            "postal_code": "31321",
            "telephone_number": "912-653-4596",
            "fax_number": "912-653-4585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 W RAILROAD ST, SUITE B",
            "city": "PEMBROKE",
            "state": "GA",
            "postal_code": "31321",
            "telephone_number": "912-653-4596",
            "fax_number": "912-653-4585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEDINGFIELD PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CHIEF PHARMACIST",
        "authorized_official_telephone_number": "912-653-4596",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "00021832B",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "02833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00021832A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.