Organization Active NPI

McCaysville Drug Center Inc

  • Community/Retail Pharmacy
  • McCaysville, GA
National Provider Identifier
1295849180
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHRE006444 Issued in GA
Legal business name
MCCAYSVILLE DRUG CENTER INC
Doing business as
McCaysville Drug Center Inc
Practice address
131 Blue Ridge Dr
MC Caysville, GA 30555-2767
Phone
(706) 492-4126
Fax
(706) 492-5902
NPI assigned
Aug 18, 2006
Last updated
Jul 19, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2018

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

Authorized official

Name
Houston Rogers, PHARMDNPI 1861116410
Title
Owner
Phone
(706) 492-4126

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHRE006444 GA Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

131 Blue Ridge Dr
MC Caysville, GA 30555-2767

Mailing address

PO Box 338
McCaysville, GA 30555
Phone (706) 492-4126

Other names 1

  • MCCAYSVILLE DRUG CENTER INC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110314000551 GA Part B Supplier - Mass Immunization (Roster Biller Only) 9436279346 Practice locations: MC Caysville, GA

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1295849180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 338",
            "city": "MCCAYSVILLE",
            "state": "GA",
            "postal_code": "30555",
            "telephone_number": "706-492-4126",
            "fax_number": "706-492-5902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 BLUE RIDGE DR",
            "city": "MC CAYSVILLE",
            "state": "GA",
            "postal_code": "305552767",
            "telephone_number": "706-492-4126",
            "fax_number": "706-492-5902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCAYSVILLE DRUG CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "HOUSTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-492-4126",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE006444",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MCCAYSVILLE DRUG CENTER INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McCaysville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.