Villa Rica RX LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

VILLA RICA RX LLC

Doing business as

Villa Rica Drugs LTC

Practice address

222 W Wilson St
Villa Rica, GA 30180-1807

Phone

(770) 456-4663

NPI assigned

Apr 21, 2025

Organization subpart

No

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

Authorized official

Name

Colton Blackmon

Title

Owner

Phone

(770) 456-4663

Specialties & licenses 1

Addresses

Other names 1

• Villa Rica Drugs LTC Doing business as

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

{
    "created_epoch": "1745193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745193600000",
    "number": "1073300497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 W WILSON ST",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301801807",
            "telephone_number": "770-456-4663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 W WILSON ST",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301801807",
            "telephone_number": "770-456-4663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLA RICA RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-21",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-16",
        "status": "A",
        "authorized_official_last_name": "BLACKMON",
        "authorized_official_first_name": "COLTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-456-4663"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Villa Rica Drugs LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Richard Brent Wadsworth Jr., LAPC
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• Walgreen Co (Rite Aid #11756)

• Long Term Care Pharmacy in Villa Rica, GA
• Providers in Villa Rica, GA by specialty
• Long Term Care Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; 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.