NPIMap

Organization Active NPI

Cox Pharmacy Inc.

  • Pharmacist
  • Cairo, GA
National Provider Identifier
1316081045
Registry record updated Dec 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PHRE006069 Issued in GA
Legal business name
COX PHARMACY INC.
Practice address
300 2ND Ave SE
Cairo, GA 39828-2726
Phone
(229) 377-9017
Fax
(229) 377-3994
NPI assigned
Feb 16, 2007
Last updated
Dec 9, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2019

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

Authorized official

Name
Jeffrey Fred CoxNPI 1467462176
Title
Owner
Phone
(229) 377-9017

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PHRE006069 GA Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

300 2ND Ave SE
Cairo, GA 39828-2726

Mailing address

300 2ND Ave SE
Cairo, GA 39828-2726
Phone (229) 377-9017

Other identifiers 2

IdentifierTypeStateIssuer
1127326OtherNATIONAL PROVIDER ID
00255956AMedicaidGA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181017000751 GA Part B Supplier - Mass Immunization (Roster Biller Only) 5092833913 Practice locations: Cairo, GA

National Provider Directory

National Provider Directory

Locations

300 2nd Ave SE
Cairo, GA 39828
Phone (229) 377-9017

Practitioners & affiliated clinicians

Practitioners 4

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": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575849600000",
    "number": "1316081045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 2ND AVE SE",
            "city": "CAIRO",
            "state": "GA",
            "postal_code": "398282726",
            "telephone_number": "229-377-9017",
            "fax_number": "229-377-3994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 2ND AVE SE",
            "city": "CAIRO",
            "state": "GA",
            "postal_code": "398282726",
            "telephone_number": "229-377-9017",
            "fax_number": "229-377-3994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COX PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "FRED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-377-9017"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "PHRE006069",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL PROVIDER ID",
            "identifier": "1127326",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00255956A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cairo, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; 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.