Georgetown Drug, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

GEORGETOWN DRUG, LLC

Doing business as

Georgetown Drug Company
Medicap Pharmacy

Practice address

1080 King George Blvd
Savannah, GA 31419-9569

Phone

(912) 920-1500

Fax

(912) 920-6967

NPI assigned

Aug 20, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Neal Hollis, RPHNPI 1366030603

Title

Owner

Phone

(912) 670-1886

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 2

• Georgetown Drug Company Doing business as
• MEDICAP PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in GA2 enrollments

Enrollment records 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Neal Hollis

  • Pharmacist
  • Savannah, GA
  • NPI 1366030603
  NPD Authorized official

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1033224068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 KING GEORGE BLVD",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314198334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 KING GEORGE BLVD",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314199569",
            "telephone_number": "912-920-1500",
            "fax_number": "912-920-6967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGETOWN DRUG, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2023-03-07",
        "certification_date": "2020-06-09",
        "status": "A",
        "authorized_official_last_name": "HOLLIS",
        "authorized_official_first_name": "NEAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-670-1886",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "GA",
            "license": "8390",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00861231A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "1146895",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Georgetown Drug Company",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MEDICAP PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ravindra K George, MD
• Susan B George, MD
• Theresa Lynn George, RN
• Vijia P. George, M.D.
• Zabreka Sade George
• Georgetown Family Dentistry LLC
• Georgia Carenow Urgent Care LLC
• Georgia Center for Digestive Diseases, LLC
• Georgia Center for Reproductive Medicine
• Georgia CVS Pharmacy LLC (CVS Pharmacy # 04230)

• Community/Retail Pharmacy in Savannah, GA
• Providers in Savannah, GA by specialty
• Community/Retail Pharmacy in Georgia

• 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.