Mitch's Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MITCH'S PHARMACY, LLC

Doing business as

mitch's pharmacy

Practice address

5 E Coffee St
Hazlehurst, GA 31539-6141

Phone

(229) 425-1296

NPI assigned

May 10, 2021

Last updated

Jul 21, 2021By 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

Mitchell Herrington, RPHNPI 1275105793

Title

Owner

Phone

(912) 699-3784

Specialties & licenses 3

Addresses

Other names 1

• mitch's pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 2

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.

• Mitchell S Herrington, RPH

  • Pharmacist
  • Hazlehurst, GA
  • NPI 1275105793
  NPD Authorized official
• Bailey Elizabeth Creamer, PHARMD

  • Pharmacist
  • Hazlehurst, GA
  • NPI 1093508467
  NPD

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

{
    "created_epoch": "1620604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626825600000",
    "number": "1295319945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 E COFFEE ST",
            "city": "HAZLEHURST",
            "state": "GA",
            "postal_code": "315396141",
            "telephone_number": "912-699-3784",
            "fax_number": "912-699-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 E COFFEE ST",
            "city": "HAZLEHURST",
            "state": "GA",
            "postal_code": "315396141",
            "telephone_number": "229-425-1296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCH'S PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-10",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A",
        "authorized_official_last_name": "HERRINGTON",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-699-3784",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "mitch's pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "mitch's pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vijay K. Mahathre, M.D.
• Candace Lynn Martinez
• Michael Lloyd Mason, OD
• Johanna McDowell, SLP-CF
• Landyn Miller, PHARMD, RPH
• Brea Mitchell, RN
• Samantha Moeller, BCBA
• Munsayac Health LLC
• Kirk Alessandro Munsayac, D.O.
• Nes Georgia, Inc.

• Community/Retail Pharmacy in Hazlehurst, GA
• Providers in Hazlehurst, 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 Jul 21, 2021; 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.

Verify at the official NPI Registry.