Pharma St RX LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PHARMA ST RX LLC

Practice address

519 S Scott St
Bainbridge, GA 39819-4101

Phone

(239) 495-3133

Fax

(229) 329-4432

NPI assigned

Feb 14, 2019

Last updated

Feb 3, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dillon Greene

Title

Owner

Phone

(561) 715-1527

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1550102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612310400000",
    "number": "1124584214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 S SCOTT ST",
            "city": "BAINBRIDGE",
            "state": "GA",
            "postal_code": "398194101",
            "telephone_number": "229-495-3133",
            "fax_number": "239-329-4432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 S SCOTT ST",
            "city": "BAINBRIDGE",
            "state": "GA",
            "postal_code": "398194101",
            "telephone_number": "239-495-3133",
            "fax_number": "229-329-4432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMA ST RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-14",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "DILLON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-715-1527"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas H. Parker Jr., MD
• Raven Parris, RN
• Henisha H Patel
• Shweta Anand Patel, DPT
• Anna Reynolds Payne
• Philip Todaro, D.O., P.C.
• Jerry David Phillips Jr., M.D.
• Kelly Phillips, SLP
• Port City Family Dental Associates
• Port City Family Medicine, L.L.C.

• Community/Retail Pharmacy in Bainbridge, GA
• Providers in Bainbridge, GA by specialty
• Community/Retail Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.