Hartwell RX Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE009635 Issued in GA

Legal business name

HARTWELL RX INC

Doing business as

HARTWELL DRUGS

Practice address

118 Athens St
Hartwell, GA 30643-1851

Phone

(706) 376-5801

Fax

(706) 376-8687

NPI assigned

Apr 17, 2007

Organization subpart

No

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

Authorized official

Name

Lance Boles

Title

Owner, Ao

Phone

(706) 376-5801

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• HARTWELL DRUGS Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1154546646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 ATHENS ST",
            "city": "HARTWELL",
            "state": "GA",
            "postal_code": "306431851",
            "telephone_number": "706-376-5801",
            "fax_number": "706-376-8687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 ATHENS ST",
            "city": "HARTWELL",
            "state": "GA",
            "postal_code": "306431851",
            "telephone_number": "706-376-5801",
            "fax_number": "706-376-8687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARTWELL RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "BOLES",
        "authorized_official_first_name": "LANCE",
        "authorized_official_title_or_position": "OWNER, AO",
        "authorized_official_telephone_number": "706-376-5801"
    },
    "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": "PHRE009635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2124561",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "601505588A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HARTWELL DRUGS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Hartwell, GA
• Providers in Hartwell, 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.