Adairsville Drug Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE006013 Issued in GA

Legal business name

ADAIRSVILLE DRUG INC

Doing business as

Adairsville Drug Inc

Practice address

6000 Joe Frank Harris Pkwy NW
Suite F
Adairsville, GA 30103-2443

Phone

(770) 773-3521

Fax

(770) 773-9882

NPI assigned

Dec 28, 2006

Last updated

Mar 2, 2009By 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

Chris Painter

Title

Owner

Phone

(770) 773-3521

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• ADAIRSVILLE DRUG INC Doing business as

Locations

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235952000000",
    "number": "1275699167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 JOE FRANK HARRIS PKWY NW",
            "address_2": "SUITE F",
            "city": "ADAIRSVILLE",
            "state": "GA",
            "postal_code": "301032443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 JOE FRANK HARRIS PKWY NW",
            "address_2": "SUITE F",
            "city": "ADAIRSVILLE",
            "state": "GA",
            "postal_code": "301032443",
            "telephone_number": "770-773-3521",
            "fax_number": "770-773-9882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAIRSVILLE DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2009-03-02",
        "status": "A",
        "authorized_official_last_name": "PAINTER",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-773-3521"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE006013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00249323A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1104164",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADAIRSVILLE DRUG INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Adairsville, GA
• Providers in Adairsville, 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 Mar 2, 2009; 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.