Organization Active NPI

Sweet Onion Pharmacy

  • Community/Retail Pharmacy
  • Vidalia, GA
National Provider Identifier
1356534689
Registry record updated Sep 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHRE009533 Issued in GA
Legal business name
SWEET ONION PHARMACY
Practice address
2321 E 1St St
Vidalia, GA 30474-8811
Phone
(912) 537-4747
Fax
(912) 537-4846
NPI assigned
Aug 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2011

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

Authorized official

Name
Renee Oliver
Title
Owner
Phone
(912) 537-4747

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHRE009533 GA Primary

Addresses

Primary practice location

2321 E 1St St
Vidalia, GA 30474-8811

Mailing address

PO Box 872
Mount Vernon, GA 30445-0872
Phone (912) 583-4108

Other identifiers 2

IdentifierTypeStateIssuer
1156024OtherNCPDP PROVIDER IDENTIFICATION NUMBER
834397069AMedicaidGA

Other names 1

  • Sweet Onion Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

2321 E 1st St
Vidalia, GA 30474
Phone (912) 537-4747

NPI Registry JSON

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317168000000",
    "number": "1356534689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 872",
            "city": "MOUNT VERNON",
            "state": "GA",
            "postal_code": "304450872",
            "telephone_number": "912-583-4108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2321 E 1ST ST",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304748811",
            "telephone_number": "912-537-4747",
            "fax_number": "912-537-4846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEET ONION PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-21",
        "last_updated": "2011-09-28",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-537-4747"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE009533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1156024",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "834397069A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sweet Onion Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vidalia, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; 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.