Organization Active NPI

Express RX Pharmacy, LLC.

  • Community/Retail Pharmacy
  • Macon, GA
National Provider Identifier
1356595417
Registry record updated Jun 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHRE009560 Issued in GA
Legal business name
EXPRESS RX PHARMACY, LLC.
Practice address
743 Shurling Dr
Macon, GA 31211-1947
Phone
(478) 742-3020
Fax
(478) 742-3020
NPI assigned
Nov 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2015

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

Authorized official

Name
Mrs. Bridget Joyce Hogan, PHARM D
Title
Pharmacist in Charge
Phone
(478) 742-3020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHRE009560 GA Primary

Addresses

Primary practice location

743 Shurling Dr
Macon, GA 31211-1947

Mailing address

743 Shurling Dr
Macon, GA 31211-1947
Phone (478) 742-3020

National Provider Directory

National Provider Directory

Locations

743 Shurling Dr
Macon, GA 31211
Phone (478) 742-3020

NPI Registry JSON

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

{
    "created_epoch": "1226707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435190400000",
    "number": "1356595417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "743 SHURLING DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312111947",
            "telephone_number": "478-742-3020",
            "fax_number": "478-742-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "743 SHURLING DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312111947",
            "telephone_number": "478-742-3020",
            "fax_number": "478-742-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESS RX PHARMACY, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-15",
        "last_updated": "2015-06-25",
        "status": "A",
        "authorized_official_last_name": "HOGAN",
        "authorized_official_first_name": "BRIDGET",
        "authorized_official_middle_name": "JOYCE",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "478-742-3020",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE009560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2015; 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.