NPIMap

Organization Active NPI

Oconee Valley Healthcare Inc

Doing business as Oconee Valley Pharmacy

  • Community/Retail Pharmacy
  • Greensboro, GA
National Provider Identifier
1306097621
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHRE009504 Issued in GA
Legal business name
OCONEE VALLEY HEALTHCARE INC
Doing business as
Oconee Valley Pharmacy
Practice address
803 S Main St
Greensboro, GA 30642-1211
Phone
(706) 454-5150
Fax
(706) 454-5151
NPI assigned
Oct 6, 2008
Last updated
Aug 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Authorized official

Name
Dave A. Ringer, M.D.
Title
Ceo
Phone
(706) 454-5123

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHRE009504 GA Primary

Addresses

Primary practice location

803 S Main St
Greensboro, GA 30642-1211

Mailing address

803 S Main St
Greensboro, GA 30642-1211
Phone (706) 454-5150

Other identifiers 2

IdentifierTypeStateIssuer
2117462OtherPK
000956238DMedicaidGA

Other names 1

  • Oconee Valley Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Oconee Valley Healthcare Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1223251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755043200000",
    "number": "1306097621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 S MAIN ST",
            "city": "GREENSBORO",
            "state": "GA",
            "postal_code": "306421211",
            "telephone_number": "706-454-5150",
            "fax_number": "706-454-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 S MAIN ST",
            "city": "GREENSBORO",
            "state": "GA",
            "postal_code": "306421211",
            "telephone_number": "706-454-5150",
            "fax_number": "706-454-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCONEE VALLEY HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-06",
        "last_updated": "2025-08-13",
        "certification_date": "2025-07-21",
        "status": "A",
        "authorized_official_last_name": "RINGER",
        "authorized_official_first_name": "DAVE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "706-454-5123",
        "authorized_official_credential": "M.D."
    },
    "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": "PHRE009504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2117462",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000956238D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oconee Valley Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greensboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; 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.