Island Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE008757 Issued in GA

Legal business name

ISLAND PHARMACY

Practice address

303 1St Street
#2506
Tybee Island, GA 31328

Phone

(912) 786-7878

Fax

(912) 786-7774

NPI assigned

Jun 15, 2006

Organization subpart

No

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

Authorized official

Name

Polly Toole

Title

Owner

Phone

(912) 786-7878

Specialties & licenses 1

Addresses

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lora Angelini, PHARMD

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Tybee Island, GA
  • NPI 1528329638
  NPD (past)

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437436800000",
    "number": "1124062807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 1ST AVE",
            "address_2": "P O BOX 2506",
            "city": "TYBEE ISLAND",
            "state": "GA",
            "postal_code": "313288752",
            "telephone_number": "912-786-7878",
            "fax_number": "912-786-7774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 1ST STREET",
            "address_2": "#2506",
            "city": "TYBEE ISLAND",
            "state": "GA",
            "postal_code": "31328",
            "telephone_number": "912-786-7878",
            "fax_number": "912-786-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2015-07-21",
        "status": "A",
        "authorized_official_last_name": "TOOLE",
        "authorized_official_first_name": "POLLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-786-7878"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE008757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Coleman Crawford, MD
• Thomas M. Green, REG. PHARMACIST
• Gregory a. Wilets, M.D. P.C.
• James C Hilleary, MS
• Sherrie Lynn Hoover, AGACNP
• Gail Little Lamb, MD
• Richard Martin Macarin, M.D.
• Edie Mercado, L.M.T.
• Oceanside Care Center LLC
• Oceanside Healthcare & Rehab LLC

• All providers in Tybee Island, GA
• Community/Retail Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2015; 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.