Organization Active NPI

Hartwell Pharmacy, Inc.

  • Pharmacy
  • Hartwell, GA
National Provider Identifier
1184708273
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PHRE003089 Issued in GA
Legal business name
HARTWELL PHARMACY, INC.
Practice address
118 Athens St
Hartwell, GA 30643-1851
Phone
(706) 376-5121
Fax
(706) 376-6983
NPI assigned
Oct 25, 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. William R Rogers, RPH
Title
Owner/Pharmacist
Phone
(706) 376-5121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHRE003089 GA Primary

Addresses

Primary practice location

118 Athens St
Hartwell, GA 30643-1851

Mailing address

118 Athens St
Hartwell, GA 30643-1851
Phone (706) 376-5121

Other identifiers 1

IdentifierTypeStateIssuer
00463713AMedicaidGA

National Provider Directory

National Provider Directory

Locations

118 Athens St
Hartwell, GA 30643
Phone (706) 376-5801

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184708273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 ATHENS ST",
            "city": "HARTWELL",
            "state": "GA",
            "postal_code": "306431851",
            "telephone_number": "706-376-5121",
            "fax_number": "706-376-6983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 ATHENS ST",
            "city": "HARTWELL",
            "state": "GA",
            "postal_code": "306431851",
            "telephone_number": "706-376-5121",
            "fax_number": "706-376-6983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARTWELL PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "706-376-5121",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "GA",
            "license": "PHRE003089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00463713A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartwell, 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.