Organization Active NPI

Maysville Pharmacy Inc

  • Pharmacy
  • Maysville, GA
National Provider Identifier
1164463543
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
7021 Issued in GA
Legal business name
MAYSVILLE PHARMACY INC
Practice address
8761 Maysville Rd
Maysville, GA 30558-0007
Phone
(706) 652-2900
Fax
(706) 652-2540
NPI assigned
Jun 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Ronald Thomas Harris, RPH
Title
Owner
Phone
(706) 652-2900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 7021 GA Primary

Addresses

Primary practice location

8761 Maysville Rd
Maysville, GA 30558-0007

Mailing address

PO Box 7
Maysville, GA 30558-0007
Phone (706) 652-2900

National Provider Directory

National Provider Directory
Tax ID family
Maysville Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

8761 Maysville Rd
Maysville, GA 30558
Phone (706) 652-2900

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164463543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7",
            "city": "MAYSVILLE",
            "state": "GA",
            "postal_code": "305580007",
            "telephone_number": "706-652-2900",
            "fax_number": "706-652-2540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8761 MAYSVILLE RD",
            "city": "MAYSVILLE",
            "state": "GA",
            "postal_code": "305580007",
            "telephone_number": "706-652-2900",
            "fax_number": "706-652-2540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYSVILLE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-652-2900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "GA",
            "license": "7021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maysville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.