Okefenokee Pharmacy of Waycross, LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

OKEFENOKEE PHARMACY OF WAYCROSS, LLC

Doing business as

Batten's Prescription Shoppe Long-Term Care

Practice address

1401 Alice St
Waycross, GA 31501-4528

Phone

(912) 283-1646

Fax

(912) 283-5383

NPI assigned

Jan 15, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Eugene Carter McDonald III, PHARM.DNPI 1174076301

Title

Chief Executive Manager/Co-Owner

Phone

(912) 283-1646

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 2

• Batten's Prescription Shoppe Long-Term Care Doing business as
• Guardian Pharmacy of Waycross, LLC Former legal business name

Tax ID family

Batten's Prescription Shoppe2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Okefenokee Pharmacy of Waycross, LLC Dba Batten's Prescription Shoppe

  dba Batten's Prescription Shoppe

  • Community/Retail Pharmacy
  • Waycross, GA
  • NPI 1548226434
  NPD tax ID

Locations

Practitioners 1

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

• Eugene Carter McDonald III, PHARM.D

  • Pharmacist
  • Waycross, GA
  • NPI 1174076301
  NPD Authorized official

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

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705276800000",
    "number": "1013788439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 ALICE ST",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315014528",
            "telephone_number": "912-283-1646",
            "fax_number": "912-283-5383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 ALICE ST",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315014528",
            "telephone_number": "912-283-1646",
            "fax_number": "912-283-5383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKEFENOKEE PHARMACY OF WAYCROSS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "CARTER",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE MANAGER/CO-OWNER",
        "authorized_official_telephone_number": "912-283-1646",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "PHARM.D"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA BOARD OF PHARMACY",
            "identifier": "PHRE010869",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000219051A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Batten's Prescription Shoppe Long-Term Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Guardian Pharmacy of Waycross, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Guardian Pharmacy of Waycross, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Aleta Deonne O'Quinn
• Greta D O'Steen, RN
• OB-GYN Associates of Waycross, PLLC
• Okefenokee Anesthesia Company LLC
• Okefenokee EMS Inc.
• Okefenokee Pharmacy of Waycross, LLC Dba Batten's Prescription Shoppe (Batten's Prescription Shoppe)
• Okefenokee Prescription Shoppe, Inc.
• Janie B Oliver, PHD
• Oncology Hematology Care Center, Inc
• One Source Vascular

• Long Term Care Pharmacy in Waycross, GA
• Providers in Waycross, GA by specialty
• Long Term Care Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; 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.