Organization Active NPI

H G Pharma, Inc

  • Pharmacist
  • Douglasville, GA
National Provider Identifier
1386917771
Registry record updated Feb 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PHRE009816
Legal business name
H G PHARMA, INC
Practice address
8480 Hospital Dr
Douglasville, GA 30134-2411
Phone
(770) 726-7357
Fax
(888) 423-5016
NPI assigned
Feb 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2012

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

Authorized official

Name
Mr. Olaitan Adeoti, R. PH.
Title
Pharmacist I/C- C.E.O.
Phone
(678) 860-3854

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X PHRE009816 Primary

Addresses

Primary practice location

8480 Hospital Dr
Douglasville, GA 30134-2411

Mailing address

8480 Hospital Dr
Douglasville, GA 30134-2411
Phone (770) 726-7357

Other identifiers 1

IdentifierTypeStateIssuer
PHRE009816MedicaidGA

Other names 1

  • Douglas Discount Drugs Doing business as

National Provider Directory

National Provider Directory

Locations

8480 Hospital Dr
Douglasville, GA 30134
Phone (770) 726-7357

NPI Registry JSON

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

{
    "created_epoch": "1329264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329264000000",
    "number": "1386917771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8480 HOSPITAL DR",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301342411",
            "telephone_number": "770-726-7357",
            "fax_number": "888-423-5016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8480 HOSPITAL DR",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301342411",
            "telephone_number": "770-726-7357",
            "fax_number": "888-423-5016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H G PHARMA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-15",
        "last_updated": "2012-02-15",
        "status": "A",
        "authorized_official_last_name": "ADEOTI",
        "authorized_official_first_name": "OLAITAN",
        "authorized_official_title_or_position": "PHARMACIST I/C- C.E.O.",
        "authorized_official_telephone_number": "678-860-3854",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R. PH."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": null,
            "license": "PHRE009816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHRE009816",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Douglas Discount Drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Douglasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; 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.