NPIMap

Organization Active NPI

Town and Campus Retailers, Inc.

  • Pharmacy
  • Statesboro, GA
National Provider Identifier
1063407807
Registry record updated Aug 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PHRE006877 Issued in GA
Legal business name
TOWN AND CAMPUS RETAILERS, INC.
Practice address
22 S Zetterower Ave
Statesboro, GA 30458-4866
Phone
(912) 764-6454
Fax
(912) 489-1110
NPI assigned
Sep 19, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2008

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

Authorized official

Name
Mr. Stephen F. Gay, R.PH.NPI 1538154133
Title
Owner
Phone
(912) 764-6454

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHRE006877 GA Primary

Addresses

Primary practice location

22 S Zetterower Ave
Statesboro, GA 30458-4866

Mailing address

22 S Zetterower Ave
Statesboro, GA 30458-4866
Phone (912) 764-6454

National Provider Directory

National Provider Directory

Locations

22 S Zetterower Ave
Statesboro, GA 30458
Phone (912) 764-6454

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218153600000",
    "number": "1063407807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 S ZETTEROWER AVE",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304584866",
            "telephone_number": "912-764-6454",
            "fax_number": "912-489-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 S ZETTEROWER AVE",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304584866",
            "telephone_number": "912-764-6454",
            "fax_number": "912-489-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN AND CAMPUS RETAILERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-19",
        "last_updated": "2008-08-08",
        "status": "A",
        "authorized_official_last_name": "GAY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-764-6454",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "GA",
            "license": "PHRE006877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2008; 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.