Bainbridge Pharmacy Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE002852 Issued in GA

Legal business name

BAINBRIDGE PHARMACY INC.

Practice address

1420 E Evans St
Bainbridge, GA 39819-4336

Phone

(229) 246-7200

Fax

(229) 246-6210

NPI assigned

Aug 9, 2006

Last updated

Aug 5, 2011By 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

Mr. Edward F Reynolds, R.PH.NPI 1265007504

Title

President

Phone

(229) 246-7200

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA2 enrollments

Enrollment records 2

Tax ID family

Bainbridge Pharmacy Inc2 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.

• Bainbridge Pharmacy Inc.

  • Long Term Care Pharmacy
  • Bainbridge, GA
  • NPI 1861247736
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Bainbridge Pharmacy Inc.

  • Long Term Care Pharmacy
  • Bainbridge, GA
  • NPI 1861247736
  NPPES parent name

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.

• Edward Reynolds, RPH

  • Pharmacist
  • Bainbridge, GA
  • NPI 1265007504
  NPD Authorized official

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312502400000",
    "number": "1104836493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 E EVANS ST",
            "city": "BAINBRIDGE",
            "state": "GA",
            "postal_code": "398194336",
            "telephone_number": "229-246-7200",
            "fax_number": "229-246-6210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 E EVANS ST",
            "city": "BAINBRIDGE",
            "state": "GA",
            "postal_code": "398194336",
            "telephone_number": "229-246-7200",
            "fax_number": "229-246-6210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAINBRIDGE PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2011-08-05",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "229-246-7200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE002852",
            "primary": true
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000355429A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bainbridge Healthcare, LLC (Bainbridge HealthCare)
• Bainbridge Home Medical, LLC
• Bainbridge Landing of Journey LLC
• Bainbridge Medical Associates, PC
• Bainbridge Operator LLC (Bainbridge Health and Rehab)
• Bainbridge Pharmacy Inc.
• Bainbridge Vision Clinic Inc
• Ladonna M Bass
• Matikka Baulkman, RN
• Kimberly Baxley, PHYSICAL THERAPIST

• Community/Retail Pharmacy in Bainbridge, GA
• Providers in Bainbridge, 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 Aug 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.