Organization Active NPI

Monticello Drugs, Inc

  • Community/Retail Pharmacy
  • Monticello, GA
National Provider Identifier
1124168786
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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

Updated by the provider on Nov 22, 2024

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

Authorized official

Name
Mr. James Ross Hays, CPHT-ADVNPI 1992118640
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)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
000032271AMedicaidGA

Other names 1

  • Monticello Drugs Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.