Active NPI
Eugene Carter McDonald III, PHARM.D
- Pharmacist
- Waycross, GA
National Provider Identifier
1174076301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH028183
- Practice address
- 1401 Alice St
Waycross, GA 31501-4528 - Phone
- (912) 283-1646
- Fax
- (912) 283-5383
- NPI assigned
- Jul 23, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH028183 | GA | Primary |
Addresses
Primary practice location
1401 Alice St
Waycross, GA 31501-4528
Mailing address
1401 Alice St
Waycross, GA 31501-4528
Phone (912) 283-1646
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH028183 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Okefenokee Pharmacy of Waycross, LLC | Current | Accepting new patients | |
| Okefenokee Pharmacy of Waycross, LLC Dba Batten'S Prescription Shoppe | Current | Accepting new patients |
Locations
1401 Alice St
Waycross, GA 31501
Phone (912) 283-1646
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Long Term Care Pharmacy
- Waycross, GA
- NPI 1013788439
-
- Community/Retail Pharmacy
- Waycross, GA
- NPI 1548226434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707177600000",
"number": "1174076301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 ALICE ST",
"city": "WAYCROSS",
"state": "GA",
"postal_code": "315014528",
"telephone_number": "912-283-1646",
"fax_number": "912-283-5383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 ALICE ST",
"city": "WAYCROSS",
"state": "GA",
"postal_code": "315014528",
"telephone_number": "912-283-1646",
"fax_number": "912-283-5383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "EUGENE",
"middle_name": "CARTER",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "PHARM.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-07-23",
"last_updated": "2024-02-06",
"certification_date": "2024-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH028183",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waycross, GA
- Mayo Clinic Health System in Waycross, Inc.
- Mayo Clinic Health System in Waycross, Inc.
- Joshua Wade McCarthy, MD
- Randall W McCarthy, P.A.
- Christopher Jason McCellan, RN
- Lindey Danielle McGahee-Washington
- Patrick Thomas McKeny, DO
- McKinney Medical Center Inc
- McKinney Medical Center Inc
- Anna Grace McLeod, PHARM. D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.