Organization Active NPI

Village Drug Shop of Athens Inc

  • Community/Retail Pharmacy
  • Athens, GA
National Provider Identifier
1194780684
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHRE003245 Issued in GA
Legal business name
VILLAGE DRUG SHOP OF ATHENS INC
Doing business as
VILLAGE DRUG SHOP OF ATHENS
Practice address
740 Prince Ave
Athens, GA 30606-5900
Phone
(706) 548-4444
Fax
(706) 548-2193
NPI assigned
Apr 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Christopher Thurmond, PHARMD
Title
President
Phone
(706) 548-4444

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHRE003245 GA Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

740 Prince Ave
Athens, GA 30606-5900

Mailing address

740 Prince Ave
Athens, GA 30606-5900
Phone (706) 548-4444

Other identifiers 2

IdentifierTypeStateIssuer
2015988OtherPK
00303509AMedicaidGA

Other names 1

  • VILLAGE DRUG SHOP OF ATHENS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20081120000668 GA Part B Supplier - Mass Immunization (Roster Biller Only) 3971663972 Practice locations: Athens, GA
O20100930003647 GA DME Supplier - Pharmacy 3971663972 Practice locations: Athens, GA
O20130710000671 GA Part B Supplier - Other 3971663972 Practice locations: Athens, GA

National Provider Directory

National Provider Directory
Tax ID family
Village Drug Shop of Athens2 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.

Locations

740 Prince Ave
Athens, GA 30606
Phone (706) 548-0008

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1194780684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 PRINCE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306065900",
            "telephone_number": "706-548-4444",
            "fax_number": "706-548-2193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 PRINCE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306065900",
            "telephone_number": "706-548-4444",
            "fax_number": "706-548-2193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE DRUG SHOP OF ATHENS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "THURMOND",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-548-4444",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE003245",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2015988",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00303509A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VILLAGE DRUG SHOP OF ATHENS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Athens, GA

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.