Organization Active NPI

Doctor'S Pharmacy-Vital Care, Inc.

  • Community/Retail Pharmacy
  • Montezuma, GA
National Provider Identifier
1205329943
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
DOCTOR'S PHARMACY-VITAL CARE, INC.
Practice address
116 Walnut St
Montezuma, GA 31063-1903
Phone
(478) 472-2040
Fax
(478) 472-9822
NPI assigned
Jun 7, 2018
Organization subpart
Yes
Parent organization
DOCTOR'S PHARMACY-VITAL CARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Authorized official

Name
Spencer Smith, RPH
Title
Owner
Phone
(229) 928-9010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

116 Walnut St
Montezuma, GA 31063-1903

Mailing address

611 E Lamar St Ste B
Americus, GA 31709-3744
Phone (229) 928-9010

Other practice location 1

611 E LaMar St Ste B
Americus, GA 31709-3744
Phone (229) 928-9010

Other identifiers 1

IdentifierTypeStateIssuer
003215966AMedicaidGA

Other names 1

  • Doctor's Pharmacy Doing business as

National Provider Directory

National Provider Directory
Part of
Doctors Pharmacy Vital

Locations

611 E Lamar St
Ste B
Americus, GA 31709
Phone (229) 928-9010

116 Walnut St
Montezuma, GA 31063
Phone (478) 472-2040

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1528329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765756800000",
    "number": "1205329943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 E LAMAR ST STE B",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317093744",
            "telephone_number": "229-928-9010",
            "fax_number": "229-928-4477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 WALNUT ST",
            "city": "MONTEZUMA",
            "state": "GA",
            "postal_code": "310631903",
            "telephone_number": "478-472-2040",
            "fax_number": "478-472-9822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "611 E LaMar St Ste B",
            "address_purpose": "LOCATION",
            "city": "Americus",
            "state": "GA",
            "postal_code": "317093744",
            "country_code": "US",
            "telephone_number": "229-928-9010",
            "fax_number": "229-928-4477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DOCTOR'S PHARMACY-VITAL CARE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DOCTOR'S PHARMACY-VITAL CARE, INC.",
        "enumeration_date": "2018-06-07",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SPENCER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-928-9010",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003215966A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doctor's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Montezuma, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; 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.