Medville Pharmacy and Compounding

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MEDVILLE PHARMACY AND COMPOUNDING

Practice address

2205 E Oglethorpe Blvd
Albany, GA 31705-2939

Phone

(229) 500-6973

Fax

(229) 500-6974

NPI assigned

Sep 5, 2024

Last updated

Sep 5, 2024By 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

Dr. George U AguwaNPI 1306269980

Title

Pharmacy Manager

Phone

(229) 500-6973

Specialties & licenses 1

Addresses

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.

• George U Aguwa

  • Pharmacist
  • Albany, GA
  • NPI 1306269980
  NPD Authorized official

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

{
    "created_epoch": "1725494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725494400000",
    "number": "1053146456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 E OGLETHORPE BLVD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317052939",
            "telephone_number": "229-500-6973",
            "fax_number": "229-500-6974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 E OGLETHORPE BLVD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317052939",
            "telephone_number": "229-500-6973",
            "fax_number": "229-500-6974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDVILLE PHARMACY AND COMPOUNDING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-05",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-04",
        "status": "A",
        "authorized_official_last_name": "AGUWA",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "229-500-6973",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medical Supplies (Comp)
• Medical Supplies (Now)
• Medicalsupply Store LLC
• Medidose Pharmacy Dba Medisave Pharmacy
• Larry Alan Medley
• Mehta Consulting
• Bhumi Mehta
• Jyotir K. Mehta, MD
• Mejia & Associates, LLC (Home Helpers #58407)
• John C Melton, LMFT

• Community/Retail Pharmacy in Albany, GA
• Providers in Albany, 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 Sep 5, 2024; 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.