Organization Active NPI

Lovvorn Drug Co LLC

  • Long Term Care Pharmacy
  • Bremen, GA
National Provider Identifier
1083335129
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
LOVVORN DRUG CO LLC
Practice address
404 Alabama Ave S
Bremen, GA 30110-2006
Phone
(770) 537-8889
NPI assigned
Sep 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Authorized official

Name
Brandall LovvornNPI 1720012057
Title
Pharmacist/Owner
Phone
(770) 537-8889

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
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

404 Alabama Ave S
Bremen, GA 30110-2006

Mailing address

PO Box 603
Bremen, GA 30110-0603

Other names 1

  • Brandall Lovvorn Drugs Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lovvorn Drug Co LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1662508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664755200000",
    "number": "1083335129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 603",
            "city": "BREMEN",
            "state": "GA",
            "postal_code": "301100603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 ALABAMA AVE S",
            "city": "BREMEN",
            "state": "GA",
            "postal_code": "301102006",
            "telephone_number": "770-537-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVVORN DRUG CO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-07",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A",
        "authorized_official_last_name": "LOVVORN",
        "authorized_official_first_name": "BRANDALL",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "770-537-8889"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brandall Lovvorn Drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bremen, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.