Organization Active NPI

Oakland Pharmacy, LLC

Doing business as Oakland Pharmacy

  • Community/Retail Pharmacy
  • Leesburg, GA
National Provider Identifier
1114591195
Registry record updated May 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
OAKLAND PHARMACY, LLC
Doing business as
Oakland Pharmacy
Practice address
125 Carlton Dr
Leesburg, GA 31763-5652
Phone
(229) 814-8443
NPI assigned
May 14, 2021
Last updated
May 14, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2021

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

Authorized official

Name
Shawona Monee Walker-Kirk, PHARMD
Title
President
Phone
(229) 669-9003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

125 Carlton Dr
Leesburg, GA 31763-5652

Mailing address

125 Carlton Dr
Leesburg, GA 31763-5652
Phone (229) 814-8443

Other identifiers 1

IdentifierTypeStateIssuer
PHRE010937OtherGAGA LICENSE NUMBER

Other names 1

  • Oakland Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

125 Carlton Dr
Leesburg, GA 31763
Phone (229) 814-8443

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1620950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620950400000",
    "number": "1114591195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 CARLTON DR",
            "city": "LEESBURG",
            "state": "GA",
            "postal_code": "317635652",
            "telephone_number": "229-814-8443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 CARLTON DR",
            "city": "LEESBURG",
            "state": "GA",
            "postal_code": "317635652",
            "telephone_number": "229-814-8443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKLAND PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-14",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A",
        "authorized_official_last_name": "WALKER-KIRK",
        "authorized_official_first_name": "SHAWONA",
        "authorized_official_middle_name": "MONEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "229-669-9003",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA LICENSE NUMBER",
            "identifier": "PHRE010937",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oakland Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Leesburg, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; 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.