Organization Active NPI

Carters Pharmacy Inc

  • Community/Retail Pharmacy
  • Pooler, GA
National Provider Identifier
1093883894
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHRE007015 Issued in GA
Legal business name
CARTERS PHARMACY INC
Doing business as
CARTERS PHARMACY INC
Practice address
1017 US Highway 80 E Ste 10
Pooler, GA 31322-9533
Phone
(912) 748-1414
Fax
(912) 748-4029
NPI assigned
Dec 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2018

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

Authorized official

Name
Tammy Saxon, RPH
Title
Pic, Ao
Phone
(912) 748-1414

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHRE007015 GA Primary

Addresses

Primary practice location

1017 US Highway 80 E Ste 10
Pooler, GA 31322-9533

Mailing address

1017 US Highway 80 E Ste 10
Pooler, GA 31322-9533
Phone (912) 748-1414

Other identifiers 2

IdentifierTypeStateIssuer
2015949OtherPK
00382159AMedicaidGA

Other names 1

  • CARTERS PHARMACY INC Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1093883894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 US HIGHWAY 80 E STE 10",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313229533",
            "telephone_number": "912-748-1414",
            "fax_number": "912-748-4029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 US HIGHWAY 80 E STE 10",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313229533",
            "telephone_number": "912-748-1414",
            "fax_number": "912-748-4029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARTERS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "SAXON",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "PIC, AO",
        "authorized_official_telephone_number": "912-748-1414",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE007015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2015949",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00382159A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CARTERS PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pooler, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.