Active NPI
Sims Pharmacy Inc
Doing business as Bowdon Valu-Rite Pharmacy
- Community/Retail Pharmacy
- Bowdon, GA
National Provider Identifier
1164455341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHRE005917
- 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, 2021
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHRE005917 | Other | GA | STATE PHARMACY LICENSE |
| 100100071 | Medicaid | AL | |
| 000661218A | Medicaid | GA | |
| Q1333830001 | Other | GA | MEDICARE |
Other names 1
- Bowdon Valu-Rite Pharmacy
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kakins@simsrx.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Pharmacy
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Southeastern Long Term Care Pharmacy
- Long Term Care Pharmacy
- Bowdon, GA
- NPI 1689953689
Locations
301 W College St
Bowdon, GA 30108
Phone (770) 258-3366
Interoperability endpoints
- 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.
-
- Pharmacist
- Bowdon, GA
- NPI 1114511060
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
- Brianna McKey
- Open Horizons Healthcare LLC
- Mike W. Ou, M.D.
- Deborah L. Prementine, LPTA
- Robert Chris Salter, CNP
- Sims Pharmacy Inc (Southeastern Long Term Care Pharmacy)
- Southeast Senior Care Mangment Group (memory lane)
- Anna Beam Strain, NP-C
- The Medical Clinics of Georgia, LLC
- TMC West Carroll Family Healthcare Center Inc (West Carroll Family Healthcare)
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.