Unionville Discount Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

UNIONVILLE DISCOUNT PHARMACY INC

Doing business as

Mike's Medical Pharmacy

Practice address

1381 Pio Nono Ave
Macon, GA 31204-4633

Phone

(478) 746-2842

Fax

(478) 746-8362

NPI assigned

Nov 15, 2006

Last updated

Mar 7, 2023By 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

Mike Iteogu, PHARMD

Title

Owner Pharmacist

Phone

(478) 742-1448

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Mike's Medical Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in GA2 enrollments

Enrollment records 2

Locations

Practitioners 3

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.

• Michael Ogbenna Iteogu, RPH

  • Pharmacist
  • Macon, GA
  • NPI 1932789104
  NPD (past)
• Quinton Andrewius Padgett, PHARMD

  • Pharmacist
  • Macon, GA
  • NPI 1376123091
  NPD (past)
• James Loftin Wilson Jr., RPH

  • Pharmacist
  • Macon, GA
  • NPI 1881964724
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1326110107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1381 PIO NONO AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312044633",
            "telephone_number": "478-742-1448",
            "fax_number": "478-742-1428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1381 PIO NONO AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312044633",
            "telephone_number": "478-746-2842",
            "fax_number": "478-746-8362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIONVILLE DISCOUNT PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "ITEOGU",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "478-742-1448",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "GA",
            "license": "6785",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00345155A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "1131907",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mike's Medical Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Casey Underhill, MD
• Frieda Allene Underwood, NP-C
• Unihealth Solutions, Inc. (UniHealth Solutions of Macon)
• Joseph M Union Jr., PAA
• Unionville Discount Pharmacy Inc
• Unique Health Care Services LLC
• United Home Care Services LLC
• United Home Care Services,LLC
• United Rehab Inc (United Rehab of Macon)
• United Rehab Inc. (United Rehab of Peake)

• Community/Retail Pharmacy in Macon, GA
• Providers in Macon, 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 7, 2023; 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.