Freshtake Grocery Corporation

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

FRESHTAKE GROCERY CORPORATION

Doing business as

FreshTake Pharmacy

Practice address

2907 Washington Rd Ste 102
Augusta, GA 30909-0181

Phone

(706) 504-9450

NPI assigned

May 4, 2024

Last updated

May 4, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jackson Mitchell

Title

Ceo

Phone

(404) 736-7288

Specialties & licenses 1

Addresses

Other names 1

• FreshTake Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1714780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714780800000",
    "number": "1255188454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2907 WASHINGTON RD STE 102",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309090181",
            "telephone_number": "706-504-9450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2907 WASHINGTON RD STE 102",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309090181",
            "telephone_number": "706-504-9450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESHTAKE GROCERY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-04",
        "last_updated": "2024-05-04",
        "certification_date": "2024-05-04",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "JACKSON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-736-7288",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FreshTake Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laron Freeman
• Mary Truitt Freeman, RN
• Sarah Michelle Freer, FNP-C
• Fresenius Vascular Care Augusta ASC LLC (Augusta Vascular Surgery Center)
• Fresenius Vascular Care Augusta, LLC
• Joseph Frey III, PH.D.
• Bruce C Friedman, M.D.
• James Michael Fries, R.D.
• Danielle Nicole Frischmann, NP
• Jessica Ann Fritts, PSYD

• Community/Retail Pharmacy in Augusta, GA
• Providers in Augusta, GA by specialty
• Community/Retail Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2024; 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.