Active NPI
Village Drug Shop of Athens Inc
- Community/Retail Pharmacy
- Athens, GA
National Provider Identifier
1194780684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHRE003245
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2015988 | Other | PK | |
| 00303509A | Medicaid | GA |
Other names 1
- VILLAGE DRUG SHOP OF ATHENS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Athens
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Athens, GA
- NPI 1437730934
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.