NPIMap

Organization Active NPI

Wynns Pharmacy Services

  • Geriatric Pharmacist
  • Griffin, GA
National Provider Identifier
1215078019
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric PharmacistTaxonomy code 1835G0303X
License
PHRE008220 Issued in GA
Legal business name
WYNNS PHARMACY SERVICES
Practice address
107 Graefe St
Griffin, GA 30224-4221
Phone
(770) 467-6500
Fax
(770) 467-6513
NPI assigned
Feb 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Osgood A. Miller, R.PH.
Title
Owner
Phone
(770) 467-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 1835G0303X PHRE008220 GA Primary

Addresses

Primary practice location

107 Graefe St
Griffin, GA 30224-4221

Mailing address

107 Graefe St
Griffin, GA 30224-4221
Phone (770) 467-6500

Other identifiers 1

IdentifierTypeStateIssuer
1148712OtherGANCPDP NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Wynn'S Pharmacy Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1215078019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 GRAEFE ST",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244221",
            "telephone_number": "770-467-6500",
            "fax_number": "770-467-6513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 GRAEFE ST",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244221",
            "telephone_number": "770-467-6500",
            "fax_number": "770-467-6513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYNNS PHARMACY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "OSGOOD",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-467-6500",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "1835G0303X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist, Geriatric",
            "state": "GA",
            "license": "PHRE008220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP NUMBER",
            "identifier": "1148712",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Griffin, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.