Senoia Drug Company Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SENOIA DRUG COMPANY INC.

Doing business as

Grantville Pharmacy

Practice address

16 Main St
Unit 1
Grantville, GA 30220-3402

Phone

(770) 583-9973

NPI assigned

Jul 8, 2014

Last updated

Jul 8, 2014By 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

James Bryan Hazelton, PHARM.D.NPI 1952935447

Title

Pharmacist

Phone

(770) 876-9910

Specialties & licenses 1

Addresses

Other names 1

• Grantville Pharmacy Doing business as

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.

• James Bryan Hazelton, PHARM.D

  • Pharmacist
  • Newnan, GA
  • NPI 1952935447
  Authorized official Same address or phone

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

{
    "created_epoch": "1404777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404777600000",
    "number": "1083020333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 280",
            "city": "SENOIA",
            "state": "GA",
            "postal_code": "302760280",
            "telephone_number": "770-313-1570",
            "fax_number": "770-727-3067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 MAIN ST",
            "address_2": "UNIT 1",
            "city": "GRANTVILLE",
            "state": "GA",
            "postal_code": "302203402",
            "telephone_number": "770-583-9973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENOIA DRUG COMPANY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-08",
        "last_updated": "2014-07-08",
        "status": "A",
        "authorized_official_last_name": "HAZELTON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "BRYAN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "770-876-9910",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grantville Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Grantville, GA
• Providers in Grantville, 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 8, 2014; 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.