Organization Active NPI

Medicine Stop Pharmacy

  • Community/Retail Pharmacy
  • Cartersville, GA
National Provider Identifier
1275636334
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHRE009067 Issued in GA
Legal business name
MEDICINE STOP PHARMACY
Practice address
117 S Tennessee St
Cartersville, GA 30121
Phone
(770) 386-5555
Fax
(770) 606-1654
NPI assigned
Sep 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Barbara Harrell
Title
Owner
Phone
(770) 855-9286

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHRE009067 GA Primary

Addresses

Primary practice location

117 S Tennessee St
Cartersville, GA 30121

Mailing address

20 Hickory LN NW
Cartersville, GA 30121-4442

Other identifiers 1

IdentifierTypeStateIssuer
1154739OtherOTHER ID NUMBER-COMMERCIAL NUMBER

National Provider Directory

National Provider Directory

Locations

117 S Tennessee St
Cartersville, GA 30120
Phone (770) 386-5555

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275636334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 HICKORY LN NW",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301214442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 S TENNESSEE ST",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "30121",
            "telephone_number": "770-386-5555",
            "fax_number": "770-606-1654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICINE STOP PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARRELL",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-855-9286"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE009067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "1154739",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cartersville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.