Swan Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SWAN PHARMACY INC

Practice address

6581 Ga 102
Mitchell, GA 30820

Phone

(478) 252-5252

NPI assigned

Aug 12, 2024

Last updated

Aug 12, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

SWAN PHARMACY, INC.As reported in NPPES

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

Authorized official

Name

Matt SwanNPI 1255098398

Title

Pharmacist

Phone

(478) 252-5252

Specialties & licenses 1

Addresses

Tax ID family

Swan Pharmacy Inc2 organizations share this tax ID, including this one

Part of

Swan Pharmacy Inc

Other organizations with this tax ID 1

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

• Swan Pharmacy Inc

  dba Gunn Drug Company

  • Community/Retail Pharmacy
  • Wadley, GA
  • NPI 1750448874
  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.

• Swan Pharmacy Inc

  dba Gunn Drug Company

  • Community/Retail Pharmacy
  • Wadley, GA
  • NPI 1750448874
  NPPES parent name

Practitioners 1

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.

• Matt Swan

  • Pharmacist
  • Wadley, GA
  • NPI 1255098398
  NPD Authorized official

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

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723420800000",
    "number": "1295566214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 69",
            "city": "WADLEY",
            "state": "GA",
            "postal_code": "304770069",
            "telephone_number": "478-494-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6581 GA 102",
            "city": "MITCHELL",
            "state": "GA",
            "postal_code": "30820",
            "telephone_number": "478-252-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWAN PHARMACY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SWAN PHARMACY, INC.",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-06",
        "status": "A",
        "authorized_official_last_name": "SWAN",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "478-252-5252"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.