Organization Active NPI

Calhoun Drug LLC

Doing business as Calhoun Drug Co

  • Community/Retail Pharmacy
  • Calhoun, GA
National Provider Identifier
1306453428
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
CALHOUN DRUG LLC
Doing business as
Calhoun Drug Co
Practice address
450 Red Bud Rd NE
Calhoun, GA 30701-1959
Phone
(706) 629-2426
Fax
(706) 629-3033
NPI assigned
Sep 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Authorized official

Name
Paul Bryant, RPH
Title
Owner
Phone
(706) 260-7998

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

450 Red Bud Rd NE
Calhoun, GA 30701-1959

Mailing address

630 Ti Pi LN
Chatsworth, GA 30705-7786
Phone (706) 260-7998

Other identifiers 1

IdentifierTypeStateIssuer
PHRE010864OtherGAPHARMACY LICENSE

Other names 1

  • CALHOUN DRUG CO Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201209002687 GA Part B Supplier - Mass Immunization (Roster Biller Only) 5496167868 Practice locations: Calhoun, GA

National Provider Directory

National Provider Directory

Locations

450 Red Bud Rd NE
Calhoun, GA 30701
Phone (706) 629-2426

NPI Registry JSON

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

{
    "created_epoch": "1600905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750723200000",
    "number": "1306453428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 TI PI LN",
            "city": "CHATSWORTH",
            "state": "GA",
            "postal_code": "307057786",
            "telephone_number": "706-260-7998",
            "fax_number": "706-971-3893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 RED BUD RD NE",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307011959",
            "telephone_number": "706-629-2426",
            "fax_number": "706-629-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALHOUN DRUG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-24",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-260-7998",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "PHRE010864",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CALHOUN DRUG CO",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CALHOUN DRUG CO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Calhoun, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; 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.