Dogwood Pharmacy LTC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

DOGWOOD PHARMACY LTC

Practice address

1909 US Highway 82 W Ste 11
Tifton, GA 31793-8213

Phone

(229) 256-2411

Fax

(229) 256-2488

NPI assigned

Mar 14, 2019

Organization subpart

Yes

Parent organization

DOGWOOD PHARMACY LLCAs reported in NPPES

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

Authorized official

Name

Laura Eugena Tyson

Title

Pharmacist/Owner

Phone

(229) 316-8200

Specialties & licenses 1

Addresses

Tax ID family

Dogwood Pharmacy LLC2 organizations share this tax ID, including this one

Part of

Dogwood Pharmacy LLC

Other organizations with this tax ID 1

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

• Dogwood Pharmacy LLC

  • Community/Retail Pharmacy
  • Nashville, GA
  • NPI 1336184514
  NPD tax ID

Locations

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.

• Dogwood Pharmacy LLC

  • Community/Retail Pharmacy
  • Nashville, GA
  • NPI 1336184514
  NPPES parent name

Practitioners 1

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

• Kaitlyn Kennedy Patterson, PHARMD

  • Pharmacist
  • Tifton, GA
  • NPI 1285221366
  NPD (past)

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

{
    "created_epoch": "1552521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554336000000",
    "number": "1245799857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 US HIGHWAY 82 W STE 11",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317938213",
            "telephone_number": "229-256-2411",
            "fax_number": "229-256-2488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 US HIGHWAY 82 W STE 11",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317938213",
            "telephone_number": "229-256-2411",
            "fax_number": "229-256-2488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 N Davis St",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "GA",
            "postal_code": "316391426",
            "country_code": "US",
            "telephone_number": "229-316-8200",
            "fax_number": "229-686-2687",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DOGWOOD PHARMACY LTC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DOGWOOD PHARMACY LLC",
        "enumeration_date": "2019-03-14",
        "last_updated": "2019-04-04",
        "status": "A",
        "authorized_official_last_name": "TYSON",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "EUGENA",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "229-316-8200"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roxann Elaine Deen, FNP-C
• Sanjay Desai, DO
• Digestive Disorders & Liver Clinic of So Ga, PC
• DM. Me Medical Supply Company
• Dogwood Pharmacy LLC
• Henry Clayton Dorminey Jr., M.D.
• Shyann Dorough, OTR/L
• Terresa Ann Dorsey, FNP
• Kelley P Douglas, MD
• Dontre M Douse, MD

• Long Term Care Pharmacy in Tifton, GA
• Providers in Tifton, GA by specialty
• Long Term Care Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2019; 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.