Organization Active NPI

Allen Pharmacy Group, LLC

Doing business as Tifton Drug Company

  • Long Term Care Pharmacy
  • Tifton, GA
National Provider Identifier
1023676608
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
ALLEN PHARMACY GROUP, LLC
Doing business as
Tifton Drug Company
Practice address
602 Love Ave
Tifton, GA 31794-4406
Phone
(229) 396-5552
Fax
(229) 396-5558
NPI assigned
May 30, 2019
Last updated
Sep 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

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

Authorized official

Name
Troy Michael Allen
Title
Cfo / Owner
Phone
(229) 563-1143

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

602 Love Ave
Tifton, GA 31794-4406

Mailing address

602 Love Ave
Tifton, GA 31794-4406
Phone (229) 396-5552

Other names 1

  • Tifton Drug Company Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1559174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632873600000",
    "number": "1023676608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 LOVE AVE",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317944406",
            "telephone_number": "229-396-5552",
            "fax_number": "229-396-5558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 LOVE AVE",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317944406",
            "telephone_number": "229-396-5552",
            "fax_number": "229-396-5558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEN PHARMACY GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-30",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "TROY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CFO / OWNER",
        "authorized_official_telephone_number": "229-563-1143"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tifton Drug Company",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tifton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; 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.