McDaniel Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE006862 Issued in GA

Legal business name

MCDANIEL PHARMACY

Practice address

195 E Dykes St
Cochran, GA 31014-6514

Phone

(478) 934-6885

Fax

(478) 934-7312

NPI assigned

Apr 19, 2007

Last updated

Oct 20, 2014By 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. Trenton Samuel McDaniel, PHARM DNPI 1649745571

Title

Pharmacist

Phone

(478) 934-6885

Specialties & licenses 2

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Trenton McDaniel, PHARM D

  • Pharmacist
  • Cochran, GA
  • NPI 1649745571
  Authorized official Same address or phone

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413763200000",
    "number": "1184841637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 E DYKES ST",
            "city": "COCHRAN",
            "state": "GA",
            "postal_code": "310146514",
            "telephone_number": "478-934-6885",
            "fax_number": "478-934-7312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 E DYKES ST",
            "city": "COCHRAN",
            "state": "GA",
            "postal_code": "310146514",
            "telephone_number": "478-934-6885",
            "fax_number": "478-934-7312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCDANIEL PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2014-10-20",
        "status": "A",
        "authorized_official_last_name": "MCDANIEL",
        "authorized_official_first_name": "TRENTON",
        "authorized_official_middle_name": "SAMUEL",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "478-934-6885",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "PHRE006862",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE006862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00356496A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00356496B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacob Lunsford, PA-C
• Audrey Jane I Maddox, MD
• Patrick Nelson Major, PHARMD
• Tanya S. Manning, M.ED. CCC/SLP
• Debbie Martin, RNC
• Trenton McDaniel, PHARM D
• Gayla Fisher McLeod, ATC/LAT
• Michelle Waters Therapy Inc
• Middle Georgia Inpatient Services LLC
• Middle Georgia State University (Middle Georgia State University Sports Medicine)

• Community/Retail Pharmacy in Cochran, GA
• Providers in Cochran, GA by specialty
• Community/Retail Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2014; 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.