Baldwin Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE008121 Issued in GA

Legal business name

BALDWIN PHARMACY LLC

Practice address

1667 Willingham Avenue
Baldwin, GA 30511-0910

Phone

(706) 778-7174

Fax

(706) 778-3405

NPI assigned

Jan 27, 2016

Organization subpart

No

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

Authorized official

Name

Thomas Jordan Crow, PHARMDNPI 1922586130

Title

Owner/Pharmacist in Charge

Phone

(706) 778-7174

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas Jordan Crow, PHARMD

  • Pharmacist
  • Baldwin, GA
  • NPI 1922586130
  NPD Authorized official
• Christopher Ryan Gurley, PHARM D

  • Pharmacist
  • Baldwin, GA
  • NPI 1164013413
  NPD

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

{
    "created_epoch": "1453852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772409600000",
    "number": "1194182709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 910",
            "city": "BALDWIN",
            "state": "GA",
            "postal_code": "305110910",
            "telephone_number": "706-778-7174",
            "fax_number": "706-778-3405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1667 WILLINGHAM AVENUE",
            "city": "BALDWIN",
            "state": "GA",
            "postal_code": "305110910",
            "telephone_number": "706-778-7174",
            "fax_number": "706-778-3405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALDWIN PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-27",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A",
        "authorized_official_last_name": "CROW",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "JORDAN",
        "authorized_official_title_or_position": "OWNER/PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "706-778-7174",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE008121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003175969A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Garrick Keith Bailey, MD
• Baldwin Pharmacy LLC
• Adelyn Grace Bolton
• Maureen Burnham
• Amy Beck Conner, CPNP-PC
• Thomas Jordan Crow, PHARMD

• All providers in Baldwin, GA
• Community/Retail Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.