Prescription Shop Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE009805 Issued in GA

Legal business name

PRESCRIPTION SHOP INC

Doing business as

The Prescription Shop

Practice address

1042 Red Bud Rd NE
Calhoun, GA 30701-2081

Phone

(706) 629-9139

Fax

(706) 629-9080

NPI assigned

Jun 14, 2006

Last updated

Mar 20, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Hall, RPHNPI 1578649851

Title

Vice President

Phone

(706) 629-9139

Specialties & licenses 6

Addresses

Other identifiers 4

Other names 1

• THE PRESCRIPTION SHOP Doing business as

Medicare fee-for-service enrollment

Enrolled in GA2 enrollments

Enrollment records 2

Locations

Practitioners 6

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.

• John J Hall III, R.PH.

  • Pharmacist
  • Calhoun, GA
  • NPI 1578649851
  NPD (past) Authorized official
• Karen Faye Braden, RPH

  • Pharmacist
  • Calhoun, GA
  • NPI 1215004270
  NPD (past)
• Nan M Hall, R.PH.

  • Pharmacist
  • Calhoun, GA
  • NPI 1821174103
  NPD (past)
• Gerald P Korey, PHARMACIST

  • Pharmacist
  • Calhoun, GA
  • NPI 1497899769
  NPD (past)
• Nan Marie Rhinehart, RPH

  • Pharmacist
  • Calhoun, GA
  • NPI 1235295197
  NPD (past)
• Maxie James Taylor II, R.PH.

  • Pharmacist
  • Calhoun, GA
  • NPI 1760596670
  NPD (past)

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489968000000",
    "number": "1326081597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1042 RED BUD RD NE",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307012081",
            "telephone_number": "706-629-9139",
            "fax_number": "706-629-9080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1042 RED BUD RD NE",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307012081",
            "telephone_number": "706-629-9139",
            "fax_number": "706-629-9080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESCRIPTION SHOP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2017-03-20",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "706-629-9139",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE009805",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000028916B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003131464A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2012084",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000028916A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE PRESCRIPTION SHOP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gaston Richard Pleiman, DPT
• Amanda Posey, LPN
• Positive Spectrum Pathways LLC
• Christina Gentile Potter, LCSW
• Prescription Shop Inc (The Prescription Shop)
• Jennifer M Prichard, M.D.
• Priority Medical, LLC
• Max D Proctor
• Procurement Care Corp (Synergy HomeCare of Calhoun)
• Professional Eye Associates, Inc.

• Community/Retail Pharmacy in Calhoun, GA
• Providers in Calhoun, GA by specialty
• Community/Retail Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2017; 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.