Active NPI
Oakland Pharmacy, LLC
Doing business as Oakland Pharmacy
- Community/Retail Pharmacy
- Leesburg, GA
National Provider Identifier
1114591195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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, 2021
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHRE010937 | Other | GA | GA LICENSE NUMBER |
Other names 1
- Oakland Pharmacy
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Albany, GA
- NPI 1053860247
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.