Organization Active NPI

Sims Healthcare, Inc

Doing business as IHS Pharmacy #3

  • Community/Retail Pharmacy
  • Jeffersonville, GA
National Provider Identifier
1033329602
Registry record updated Feb 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHRE009144 Issued in GA
Legal business name
SIMS HEALTHCARE, INC
Doing business as
IHS Pharmacy #3
Practice address
13762 US Highway 80
Jeffersonville, GA 31044-3509
Phone
(478) 945-3500
Fax
(478) 945-3500
NPI assigned
May 23, 2007
Last updated
Feb 21, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2017

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

Authorized official

Name
Michael Sims, RPHNPI 1134675549
Title
President/Pic
Phone
(478) 945-3500

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X PHRE009144 GA Primary

Addresses

Primary practice location

13762 US Highway 80
Jeffersonville, GA 31044-3509

Mailing address

PO Box 195
Jeffersonville, GA 31044-0195
Phone (478) 945-3500

Other identifiers 2

IdentifierTypeStateIssuer
565667276AMedicaidGA
2134138OtherPK

Other names 1

  • IHS Pharmacy #3 Doing business as

National Provider Directory

National Provider Directory

Locations

13762 US Highway 80
Jeffersonville, GA 31044
Phone (478) 945-3500

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487635200000",
    "number": "1033329602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 195",
            "city": "JEFFERSONVILLE",
            "state": "GA",
            "postal_code": "310440195",
            "telephone_number": "478-945-3500",
            "fax_number": "478-945-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13762 US HIGHWAY 80",
            "city": "JEFFERSONVILLE",
            "state": "GA",
            "postal_code": "310443509",
            "telephone_number": "478-945-3500",
            "fax_number": "478-945-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMS HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2017-02-21",
        "status": "A",
        "authorized_official_last_name": "SIMS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT/PIC",
        "authorized_official_telephone_number": "478-945-3500",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE009144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "565667276A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2134138",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IHS Pharmacy #3",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jeffersonville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; 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.