Active NPI
Monticello Drugs, Inc
- Community/Retail Pharmacy
- Monticello, GA
National Provider Identifier
1124168786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- MONTICELLO DRUGS, INC
- Doing business as
- Monticello Drugs
- Practice address
- 679 W Washington St
Monticello, GA 31064-1371 - Phone
- (706) 468-6836
- Fax
- (706) 468-1973
- NPI assigned
- Feb 6, 2007
- 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
- Mr. James Ross Hays, CPHT-ADV
- Title
- Manager
- Phone
- (706) 468-6836
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PHRE004902 | GA | |
| Community/Retail Pharmacy | 3336C0003X | Primary | ||
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
679 W Washington St
Monticello, GA 31064-1371
Mailing address
PO Box 435
Monticello, GA 31064-0435
Phone (706) 468-6836
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000032271A | Medicaid | GA |
Other names 1
- Monticello Drugs
National Provider Directory
National Provider DirectoryLocations
228 Forsyth St
Monticello, GA 31064
Phone (706) 468-6836
679 W Washington St
Monticello, GA 31064
Phone (706) 468-6836
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacy Technician
- Monticello, GA
- NPI 1992118640
-
- Pharmacist
- Monticello, GA
- NPI 1588217384
-
- Pharmacist
- Monticello, GA
- NPI 1275726861
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1732233600000",
"number": "1124168786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 435",
"city": "MONTICELLO",
"state": "GA",
"postal_code": "310640435",
"telephone_number": "706-468-6836",
"fax_number": "706-468-1973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "679 W WASHINGTON ST",
"city": "MONTICELLO",
"state": "GA",
"postal_code": "310641371",
"telephone_number": "706-468-6836",
"fax_number": "706-468-1973"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MONTICELLO DRUGS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-06",
"last_updated": "2024-11-22",
"certification_date": "2024-11-22",
"status": "A",
"authorized_official_last_name": "HAYS",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "ROSS",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "706-468-6836",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CPHT-ADV"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "GA",
"license": "PHRE004902",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000032271A",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Monticello Drugs",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Monticello Drugs",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Monticello, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.