Active NPI
Unadilla Drug Company Inc
Doing business as Unadilla Drug Company
- Community/Retail Pharmacy
- Unadilla, GA
National Provider Identifier
1245675073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHRE009921
- Legal business name
- UNADILLA DRUG COMPANY INC
- Doing business as
- Unadilla Drug Company
- Practice address
- 413 Second St
Unadilla, GA 31091 - Phone
- (478) 627-3041
- Fax
- (478) 627-3874
- NPI assigned
- May 7, 2013
- Last updated
- Sep 22, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dhara Patel
- Title
- Pharmacy Manager
- Phone
- (478) 627-3041
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | NU | ||
| Clinic Pharmacy | 3336C0002X | NU | ||
| Community/Retail Pharmacy | 3336C0003X | PHRE009921 | GA | Primary |
| Long Term Care Pharmacy | 3336L0003X | NU |
Addresses
Primary practice location
413 Second St
Unadilla, GA 31091
Mailing address
PO Box 14
Unadilla, GA 31091-0014
Phone (478) 627-3041
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003136637A | Medicaid | GA | |
| 2140330 | Other | PK |
Other names 1
- Unadilla Drug Company
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140421001105 | GA | Part B Supplier - Mass Immunization (Roster Biller Only) | 9638301906 |
2 other NPIs on this enrollment Practice locations: Unadilla, GA; Vienna, GA; Warner Robins, GA |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Medicine Stop
- Community/Retail Pharmacy
- Warner Robins, GA
- NPI 1437508819
O20140421001105
-
dba Medicine Stop 1
- Community/Retail Pharmacy
- Vienna, GA
- NPI 1164158895
O20140421001105
National Provider Directory
National Provider Directory- Tax ID family
- Unadilla Drug Co
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Medicine Stop
- Community/Retail Pharmacy
- Warner Robins, GA
- NPI 1437508819
-
dba Medicine Stop
- Long Term Care Pharmacy
- Warner Robins, GA
- NPI 1710501010
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Unadilla, GA
- NPI 1326346974
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367884800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758499200000",
"number": "1245675073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 14",
"city": "UNADILLA",
"state": "GA",
"postal_code": "310910014",
"telephone_number": "478-627-3041",
"fax_number": "478-627-3874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "413 SECOND ST",
"city": "UNADILLA",
"state": "GA",
"postal_code": "31091",
"telephone_number": "478-627-3041",
"fax_number": "478-627-3874"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNADILLA DRUG COMPANY INC",
"organizational_subpart": "NO",
"enumeration_date": "2013-05-07",
"last_updated": "2025-09-22",
"certification_date": "2025-09-22",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "DHARA",
"authorized_official_title_or_position": "PHARMACY MANAGER",
"authorized_official_telephone_number": "478-627-3041"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3336C0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Clinic Pharmacy",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "GA",
"license": "PHRE009921",
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003136637A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2140330",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Unadilla Drug Company",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Unadilla, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; 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.