NPIMap

Organization Active NPI

Midtown Pharmacy Inc

  • Community/Retail Pharmacy
  • Columbus, GA
National Provider Identifier
1215047501
Registry record updated Feb 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHRE007441 Issued in GA
Legal business name
MIDTOWN PHARMACY INC
Practice address
2660 Buena Vista Rd Ste a
Suite a
Columbus, GA 31906-3914
Phone
(706) 596-8871
Fax
(706) 596-8182
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2013

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

Authorized official

Name
Maggie C Okeke, RPHNPI 1023789526
Title
President
Phone
(706) 596-8871

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X PHRE007441 GA Primary

Addresses

Primary practice location

2660 Buena Vista Rd Ste a
Suite a
Columbus, GA 31906-3914

Mailing address

2660 Buena Vista Rd Ste a
Suite a
Columbus, GA 31906-3914
Phone (706) 596-8871

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930065328 GA DME Supplier - Pharmacy 4587783741 Practice locations: Columbus, GA
O20150818005352 GA Part B Supplier - Mass Immunization (Roster Biller Only) 4587783741 Practice locations: Columbus, GA

National Provider Directory

National Provider Directory
Tax ID family
Midtown Pharmacy Inc2 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.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361923200000",
    "number": "1215047501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2660 BUENA VISTA RD STE A",
            "address_2": "SUITE A",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319063914",
            "telephone_number": "706-596-8871",
            "fax_number": "706-596-8182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660 BUENA VISTA RD STE A",
            "address_2": "SUITE A",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319063914",
            "telephone_number": "706-596-8871",
            "fax_number": "706-596-8182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDTOWN PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2013-02-27",
        "status": "A",
        "authorized_official_last_name": "OKEKE",
        "authorized_official_first_name": "MAGGIE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-596-8871",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE007441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; 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.