Mortar and Pestle, LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

PHRE010202 Issued in GA

Legal business name

MORTAR AND PESTLE, LLC

Practice address

1194 Warm Springs Hwy
Manchester, GA 31816

Phone

(706) 846-2002

Fax

(706) 846-2161

NPI assigned

Jan 21, 2016

Organization subpart

Yes

Parent organization

MORTAR AND PESTLE, LLCAs reported in NPPES

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

Authorized official

Name

Ryan Meeks

Title

Owner

Phone

(706) 298-2714

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• The Medicine Cabinet Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Mortar and Pestle, LLC

  • Community/Retail Pharmacy
  • Thomaston, GA
  • NPI 1295388981

  0143498451

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Mortar Pestle LLC

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

{
    "created_epoch": "1453334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1174980262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1194 WARM SPRINGS HWY",
            "city": "MANCHESTER",
            "state": "GA",
            "postal_code": "31816",
            "telephone_number": "706-846-2002",
            "fax_number": "706-846-2161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1194 WARM SPRINGS HWY",
            "city": "MANCHESTER",
            "state": "GA",
            "postal_code": "31816",
            "telephone_number": "706-846-2002",
            "fax_number": "706-846-2161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORTAR AND PESTLE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MORTAR AND PESTLE, LLC",
        "enumeration_date": "2016-01-21",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "MEEKS",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-298-2714"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "GA",
            "license": "PHRE010202",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000453384A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2155789",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Medicine Cabinet",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Medicine Cabinet",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Manchester, GA
• Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.