Maddox Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

007257 Issued in GA

Legal business name

MADDOX PHARMACY INC

Doing business as

Ward Drug Company

Practice address

13 Keys Ferry St
McDonough, GA 30253-3210

Phone

(770) 957-3911

Fax

(770) 957-0354

NPI assigned

Nov 28, 2006

Last updated

Jun 20, 2008By 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

Joel Maddox, RPH

Title

Pres

Phone

(770) 957-3911

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• WARD DRUG COMPANY Doing business as

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1194891291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 KEYS FERRY ST",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302533210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 KEYS FERRY ST",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302533210",
            "telephone_number": "770-957-3911",
            "fax_number": "770-957-0354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADDOX PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "MADDOX",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "770-957-3911",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "007257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "1112200",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00037969A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000467662B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WARD DRUG COMPANY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• LWHC
• M&G Lewis Logistics LLC
• Macon Eyecare Associates Inc (McDonough Family EyeCare)
• Joel Maddox II
• Tajamyah Maddox
• Carrie L Madej, DO
• Margaret Strickland Maguire, APRN, FNP-C
• Tonya Renee Mallory, RN

• Community/Retail Pharmacy in McDonough, GA
• Providers in McDonough, 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 Jun 20, 2008; 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.