Organization Active NPI

North Columbus Pharmacy of Columbus, Georgia, Inc.

  • Community/Retail Pharmacy
  • Columbus, GA
National Provider Identifier
1023192838
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
006627 Issued in GA
Legal business name
NORTH COLUMBUS PHARMACY OF COLUMBUS, GEORGIA, INC.
Practice address
6490 Veterans Parkway
Suite B
Columbus, GA 31909
Phone
(706) 327-5125
Fax
(706) 327-4815
NPI assigned
Oct 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mr. David Alan Lovett, RPHNPI 1487739140
Title
Owner/PLC
Phone
(706) 327-5125

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 006627 GA Primary

Addresses

Primary practice location

6490 Veterans Parkway
Suite B
Columbus, GA 31909

Mailing address

6490 Veterans Parkway
Suite B
Columbus, GA 31909
Phone (706) 327-5125

Other identifiers 3

IdentifierTypeStateIssuer
006627OtherGASTATE PHARMACY LICENSE
00735039AMedicaidGA
1108201OtherGANCPDP NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190925001185 GA Part B Supplier - Pharmacy 2062738511 Practice locations: Columbus, GA

National Provider Directory

National Provider Directory

Locations

6490 Veterans Pkwy
Ste B
Columbus, GA 31909
Phone (706) 327-5125

Practitioners & affiliated clinicians

Practitioners 3

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": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1023192838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6490 VETERANS PARKWAY",
            "address_2": "SUITE B",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "31909",
            "telephone_number": "706-327-5125",
            "fax_number": "706-327-4815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6490 VETERANS PARKWAY",
            "address_2": "SUITE B",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "31909",
            "telephone_number": "706-327-5125",
            "fax_number": "706-327-4815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH COLUMBUS PHARMACY OF COLUMBUS, GEORGIA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2023-03-07",
        "certification_date": "2023-02-21",
        "status": "A",
        "authorized_official_last_name": "LOVETT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER/PLC",
        "authorized_official_telephone_number": "706-327-5125",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "006627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PHARMACY LICENSE",
            "identifier": "006627",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00735039A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP NUMBER",
            "identifier": "1108201",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.