Fletcher Family Pharmacy, Inc.

Primary specialty

PharmacistTaxonomy code 183500000X

License

15733 Issued in GA

Legal business name

FLETCHER FAMILY PHARMACY, INC.

Practice address

214 18TH St E
Suite a
Tifton, GA 31794-3512

Phone

(229) 388-1666

Fax

(229) 388-1391

NPI assigned

Dec 30, 2006

Organization subpart

No

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

Authorized official

Name

Charlene Fletcher, RPHNPI 1912063074

Title

Owner

Phone

(229) 388-1666

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Medicine Shoppe Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charlene Fletcher, RPH

  • Pharmacist
  • Tifton, GA
  • NPI 1912063074
  NPD (past) Authorized official

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

{
    "created_epoch": "1167436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1164588224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 18TH ST E",
            "address_2": "SUITE A",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317943512",
            "telephone_number": "229-388-1666",
            "fax_number": "229-388-1391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 18TH ST E",
            "address_2": "SUITE A",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317943512",
            "telephone_number": "229-388-1666",
            "fax_number": "229-388-1391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLETCHER FAMILY PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-30",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "FLETCHER",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-388-1666",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "15733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00587397A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicine Shoppe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carolyn Jean Felton, M.D.
• Nora Anne Fine, MD
• Alison Lindsey Fitzgerald, MSN, CNM
• Stanley Bernard Flanders Sr.
• Kyle Fleck, MD
• Charlene Fletcher, RPH
• Lindsey Durden Fletcher, NP-C
• Christopher David Floyd, FNP-C, AG-ACNP-BC
• Dawn Marie Floyd, NP
• Chelsie Rae Folsom

• Pharmacist in Tifton, GA
• Providers in Tifton, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; 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.