Organization Active NPI

Smith Drugs LLC

Doing business as Tomlinson Pharmacy

  • Community/Retail Pharmacy
  • Dublin, GA
National Provider Identifier
1245337088
Registry record updated Dec 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHRE005857 Issued in GA
Legal business name
SMITH DRUGS LLC
Doing business as
Tomlinson Pharmacy
Practice address
108 Rowe St
Dublin, GA 31021-5238
Phone
(478) 272-7722
Fax
(478) 272-7722
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2015

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

Authorized official

Name
Wendell Smith
Title
Owner
Phone
(478) 272-8065

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHRE005857 GA Primary

Addresses

Primary practice location

108 Rowe St
Dublin, GA 31021-5238

Mailing address

108 Rowe St
Dublin, GA 31021-5238
Phone (478) 272-7722

Other identifiers 2

IdentifierTypeStateIssuer
2012332OtherPK
00034999AMedicaidGA

Other names 1

  • TOMLINSON PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230516003336 GA Part B Supplier - Pharmacy 1153528286 Practice locations: Dublin, GA

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450828800000",
    "number": "1245337088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 ROWE ST",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310215238",
            "telephone_number": "478-272-7722",
            "fax_number": "478-272-7776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 ROWE ST",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310215238",
            "telephone_number": "478-272-7722",
            "fax_number": "478-272-7722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH DRUGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2015-12-23",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "WENDELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-272-8065"
    },
    "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": "PHRE005857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2012332",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00034999A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TOMLINSON PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dublin, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2015; 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.