Donato Health LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE010337 Issued in GA

Legal business name

DONATO HEALTH LLC

Doing business as

Golden Isles Pharmacy

Practice address

3010 Altama Ave
Brunswick, GA 31520-4607

Phone

(912) 266-8140

Fax

(912) 266-8141

NPI assigned

Apr 15, 2016

Last updated

Jul 19, 2018By 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

Matthew Donato, PHARM.D.NPI 1760899538

Title

Owner/Pharmacist

Phone

(912) 266-2637

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Golden Isles Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 2

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.

• Matthew Donato, PHARMD.

  • Pharmacist
  • Brunswick, GA
  • NPI 1760899538
  NPD (past) Authorized official
• Logan Mullis Walker

  • Pharmacist
  • Brunswick, GA
  • NPI 1346918778
  NPD (past)

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

{
    "created_epoch": "1460678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1033563077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 ALTAMA AVE",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "31520",
            "telephone_number": "912-266-8140",
            "fax_number": "912-266-8141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 ALTAMA AVE",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204607",
            "telephone_number": "912-266-8140",
            "fax_number": "912-266-8141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONATO HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-15",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "DONATO",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "912-266-2637",
        "authorized_official_credential": "PHARM.D."
    },
    "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": "PHRE010337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2159597",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Isles Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Renee Diskin, MD
• William Blaise Dismer
• Hallie Dixon, RBT
• Mary Beth Dixon, PA-C
• DME Medical, Inc.
• Matthew Donato, PHARMD.
• Donatorx LLC (Golden Isles Pharmacy)
• Maxwell Donnan, DNP
• Nathalie Douglas, RN
• Courtney Dowling, MSN, APRN, FNP-C

• Community/Retail Pharmacy in Brunswick, GA
• Providers in Brunswick, 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 Jul 19, 2018; 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.