Organization Active NPI

Hickory Drugs

  • Community/Retail Pharmacy
  • Canton, GA
National Provider Identifier
1356838890
Registry record updated Apr 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
HICKORY DRUGS
Practice address
6679 Hickory Flat Hwy
Canton, GA 30115-9225
Phone
(678) 798-8434
Fax
(678) 798-8435
NPI assigned
Apr 19, 2018
Last updated
Apr 19, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2018

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

Authorized official

Name
David GriffinNPI 1043318959
Title
Ceo
Phone
(678) 798-8434

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 1

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

Addresses

Primary practice location

6679 Hickory Flat Hwy
Canton, GA 30115-9225

Mailing address

202 Beacon CV
Canton, GA 30114-5892
Phone (678) 798-8434

National Provider Directory

National Provider Directory

Locations

6679 Hickory Flat Hwy
Canton, GA 30115
Phone (678) 798-8434

Practitioners & affiliated clinicians

Practitioners 1

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": "1524096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524096000000",
    "number": "1356838890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 BEACON CV",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301145892",
            "telephone_number": "678-798-8434",
            "fax_number": "678-798-8435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6679 HICKORY FLAT HWY",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301159225",
            "telephone_number": "678-798-8434",
            "fax_number": "678-798-8435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HICKORY DRUGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-19",
        "last_updated": "2018-04-19",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-798-8434"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2018; 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.