CB Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE009836 Issued in GA

Legal business name

CB PHARMACY INC

Doing business as

Castleberry Drug Company

Practice address

67 N Lee St
Forsyth, GA 31029-2133

Phone

(760) 505-9120

Fax

(866) 310-6445

NPI assigned

Sep 26, 2012

Last updated

Jun 15, 2016By 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

Mr. Scott Allen Tyree

Title

President

Phone

(760) 505-9120

Specialties & licenses 1

Addresses

Other names 1

• Castleberry Drug Company Doing business as

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

{
    "created_epoch": "1348617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465948800000",
    "number": "1043561392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 N LEE ST",
            "city": "FORSYTH",
            "state": "GA",
            "postal_code": "310292133",
            "telephone_number": "760-505-9120",
            "fax_number": "866-310-6445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 N LEE ST",
            "city": "FORSYTH",
            "state": "GA",
            "postal_code": "310292133",
            "telephone_number": "760-505-9120",
            "fax_number": "866-310-6445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CB PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-26",
        "last_updated": "2016-06-15",
        "status": "A",
        "authorized_official_last_name": "TYREE",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-505-9120",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE009836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Castleberry Drug Company",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Forsyth, GA
• Providers in Forsyth, 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 Jun 15, 2016; 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.