Organization Active NPI

Sims Pharmacy Inc

Doing business as Bowdon Valu-Rite Pharmacy

  • Community/Retail Pharmacy
  • Bowdon, GA
National Provider Identifier
1164455341
Registry record updated Apr 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHRE005917 Issued in GA
Legal business name
SIMS PHARMACY INC
Doing business as
Bowdon Valu-Rite Pharmacy
Practice address
301 W College St
Bowdon, GA 30108-1309
Phone
(770) 258-3366
Fax
(770) 258-3366
NPI assigned
Jul 9, 2006
Last updated
Apr 19, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2021

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

Authorized official

Name
Kenny Alan Akins
Title
Manager
Phone
(770) 258-3366

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHRE005917 GA Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

301 W College St
Bowdon, GA 30108-1309

Mailing address

301 W College St
Bowdon, GA 30108-1309
Phone (770) 258-3366

Other identifiers 4

IdentifierTypeStateIssuer
PHRE005917OtherGASTATE PHARMACY LICENSE
100100071MedicaidAL
000661218AMedicaidGA
Q1333830001OtherGAMEDICARE

Other names 1

  • Bowdon Valu-Rite Pharmacy Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kakins@simsrx.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210413002252 GA Part B Supplier - Mass Immunization (Roster Biller Only) 7719395698 Practice locations: Bowdon, GA

National Provider Directory

National Provider Directory
Tax ID family
Bowdon Valu-Rite Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

301 W College St
Bowdon, GA 30108
Phone (770) 258-3366

Interoperability endpoints

  • Direct secure messaging: kakins@simsrx.com

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618790400000",
    "number": "1164455341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W COLLEGE ST",
            "city": "BOWDON",
            "state": "GA",
            "postal_code": "301081309",
            "telephone_number": "770-258-3366",
            "fax_number": "770-258-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W COLLEGE ST",
            "city": "BOWDON",
            "state": "GA",
            "postal_code": "301081309",
            "telephone_number": "770-258-3366",
            "fax_number": "770-258-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A",
        "authorized_official_last_name": "AKINS",
        "authorized_official_first_name": "KENNY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "770-258-3366"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE005917",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PHARMACY LICENSE",
            "identifier": "PHRE005917",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100100071",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000661218A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "Q1333830001",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kakins@simsrx.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "301 W College St",
            "city": "Bowdon",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301081309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Bowdon Valu-Rite Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bowdon Valu-Rite Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bowdon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; 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.