College Pharmacy, Inc.

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

COLLEGE PHARMACY, INC.

Doing business as

East Georgia Home Center

Practice address

35 S Main St
Statesboro, GA 30458-5245

Phone

(912) 489-4663

Fax

(912) 489-3129

NPI assigned

Sep 8, 2006

Last updated

Oct 2, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Michael James Guernsey

Title

Manager

Phone

(912) 489-4663

Specialties & licenses 3

Addresses

Other names 1

• East Georgia Home Center Doing business as

Tax ID family

College 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.

• College Pharmacy, Inc.

  dba College Pharmacy Vital Care

  • Specialty Pharmacy
  • Statesboro, GA
  • NPI 1922116805
  NPD tax ID

Locations

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191283200000",
    "number": "1174627426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 S MAIN ST",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304585245",
            "telephone_number": "912-489-4663",
            "fax_number": "912-489-3129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 S MAIN ST",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304585245",
            "telephone_number": "912-489-4663",
            "fax_number": "912-489-3129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLEGE PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-08",
        "last_updated": "2007-10-02",
        "status": "A",
        "authorized_official_last_name": "GUERNSEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "912-489-4663",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "GA",
            "license": "PHRE007767",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Georgia Home Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Madison Cocke
• Alexandra Cole, M.ED.
• Sierra Coleman
• Taylor Coleman
• Stacey Coler
• College Pharmacy, Inc. (College Pharmacy Vital Care)
• Hannah Collins, CCC-SLP
• Kelley Flowers Collins, PHARMD
• Mary-Anne Collins, MOT, OTR/L
• Laurie Michelle Colyer, PT

• Oxygen Equipment & Supplies (DME) in Statesboro, GA
• Providers in Statesboro, GA by specialty
• Oxygen Equipment & Supplies (DME) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; 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.