Pierce Family Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE009610 Issued in GA

Legal business name

PIERCE FAMILY PHARMACY INC

Doing business as

Pierce Family Health Mart Pharmacy

Practice address

3150 US Highway 84
Blackshear, GA 31516-4944

Phone

(912) 449-1400

Fax

(912) 449-1404

NPI assigned

Oct 13, 2009

Last updated

Jul 19, 2018By 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

Zavain Mardirossian

Title

President,Pic, Ao

Phone

(912) 449-1400

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Pierce Family Health Mart Pharmacy Doing business as

Locations

Practitioners 3

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.

• Brie Edgerton Long, PHARM.D.

  • Pharmacist
  • Nahunta, GA
  • NPI 1295453579
  NPD (past)
• Ashton Quick

  • Pharmacist
  • Nahunta, GA
  • NPI 1821689621
  NPD (past)
• Tiffany Amber Woods, PHARMD

  • Pharmacist
  • Blackshear, GA
  • NPI 1174114953
  NPD (past)

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

{
    "created_epoch": "1255392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1144555996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 US HIGHWAY 84",
            "city": "BLACKSHEAR",
            "state": "GA",
            "postal_code": "315164944",
            "telephone_number": "912-449-1400",
            "fax_number": "912-449-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 US HIGHWAY 84",
            "city": "BLACKSHEAR",
            "state": "GA",
            "postal_code": "315164944",
            "telephone_number": "912-449-1400",
            "fax_number": "912-449-1404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIERCE FAMILY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-13",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "MARDIROSSIAN",
        "authorized_official_first_name": "ZAVAIN",
        "authorized_official_title_or_position": "PRESIDENT,PIC, AO",
        "authorized_official_telephone_number": "912-449-1400"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE009610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2122314",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "391060474A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pierce Family Health Mart Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Optim Orthopedics, LLC (Optim Orthopedics)
• Felicia Yvette Peach, APC
• Pierce County Board of Education
• Pierce County Board of Health
• Pierce County Commissioner of Roads and Revenues (Pierce County EMS)
• Lynette Powers, CCC-SLP
• Jonathon Michael Pryor, LPC, LPCC
• Reliance Sleep Centers of America Inc (Reliance Sleep Center)
• Elizabeth Osburn Riggins, LMT
• RLM (Infinite Wellness)

• Community/Retail Pharmacy in Blackshear, GA
• Providers in Blackshear, 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 Jul 19, 2018; 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.