Strickland Drug Company LLC
Organization Active NPI Pharmacy · Pelham, GA
NPI 1104452374 · NPPES record last updated Jul 2, 2020
Key facts
- NPI
- 1104452374
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacy 333600000X
- Legal business name
- STRICKLAND DRUG COMPANY LLC
- Practice address
- 210 Church St
Pelham, GA 31779-2165 - Phone
- (229) 213-2003
- Fax
- (229) 213-2085
- NPI assigned
- Mar 19, 2020
- Organization subpart
- No
Authorized official
- Name
- Hunter Mizell Strickland
- Title
- President
- Phone
- (229) 213-2003
Practitioners 1
-
Hunter Mizell Strickland, PHARMD
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Pelham Pharmacy |
Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Does not accept assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201022000756 | GA | Part B Supplier - Pharmacy | 5092135574 | Practice locations: Pelham, GA |
| O20201113001869 | GA | DME Supplier - Pharmacy | 5092135574 | Practice locations: Pelham, GA |
National Provider Directory
Locations
210 Church St SW
Pelham, GA 31779
Phone (229) 213-2003
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | Yes |
Addresses
Primary practice location
210 Church St
Pelham, GA 31779-2165
Mailing address
210 Church St SW
Pelham, GA 31779-2165
Phone (229) 213-2003
Other names
- PELHAM PHARMACY
Other providers in Pelham, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.