Terese Inc.

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

RPH09972 Issued in GA

Legal business name

TERESE INC.

Practice address

2529 Peach Orchard Rd
Augusta, GA 30906-2412

Phone

(706) 798-3253

Fax

(706) 798-3225

NPI assigned

Oct 12, 2016

Organization subpart

No

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

Authorized official

Name

Terese K Fordham

Title

Owner

Phone

(706) 798-3253

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Peach Orchard Drugs Doing business as

Practitioners 1

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

• Nathan Cash

  • Pharmacist
  • Augusta, GA
  • NPI 1235685249
  NPD (past)

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

{
    "created_epoch": "1476230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476230400000",
    "number": "1013467190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2529 PEACH ORCHARD RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309062412",
            "telephone_number": "706-798-3253",
            "fax_number": "706-798-3225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2529 PEACH ORCHARD RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309062412",
            "telephone_number": "706-798-3253",
            "fax_number": "706-798-3225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERESE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-12",
        "last_updated": "2016-10-12",
        "status": "A",
        "authorized_official_last_name": "FORDHAM",
        "authorized_official_first_name": "TERESE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-798-3253"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "GA",
            "license": "RPH09972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "787783075A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peach Orchard Drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Damon Arnold Templeton, MD
• Patricia Lynn Tenace, NP
• Tender Touch Private Care
• Kowanda Tenkapowom
• Terese Inc
• Christopher Terrell, DO
• Elizabeth Terrell, RBT
• David James Terris, M.D.
• Martha Kennedy Terris, M.D.
• Terry D. Krekorian MD, Inc., a Professional Medical Corporation

• Point of Service in Augusta, GA
• Providers in Augusta, GA by specialty
• Point of Service in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.