Active NPI
Faulk Medical Services, Inc.
Doing business as Shoppers Pharmacy
- Oxygen Equipment & Supplies (DME)
- Eatonton, GA
National Provider Identifier
1396807780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- License
- 005813
- Legal business name
- FAULK MEDICAL SERVICES, INC.
- Doing business as
- Shoppers Pharmacy
- Practice address
- 303 S Jefferson Ave
Eatonton, GA 31024-1129 - Phone
- (706) 485-6262
- NPI assigned
- Dec 14, 2006
- Last updated
- Sep 11, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bruce Michael Faulk
- Title
- President
- Phone
- (706) 485-6262
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 005813 | GA | Primary |
| Community/Retail Pharmacy | 3336C0003X | 005813 | GA |
Addresses
Primary practice location
303 S Jefferson Ave
Eatonton, GA 31024-1129
Mailing address
303 S Jefferson Ave
Eatonton, GA 31024-1129
Phone (706) 485-6262
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00226443B | Medicaid | GA | |
| 00226443A | Medicaid | GA |
Other names 1
- Shoppers Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150129000827 | GA | Part B Supplier - Mass Immunization (Roster Biller Only) | 4486772712 | Practice locations: Eatonton, GA |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Pharmacist
- Eatonton, GA
- NPI 1588736581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1396807780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 S JEFFERSON AVE",
"city": "EATONTON",
"state": "GA",
"postal_code": "310241129",
"telephone_number": "706-485-6262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 S JEFFERSON AVE",
"city": "EATONTON",
"state": "GA",
"postal_code": "310241129",
"telephone_number": "706-485-6262"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAULK MEDICAL SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-14",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "FAULK",
"authorized_official_first_name": "BRUCE",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "706-485-6262"
},
"taxonomies": [
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "GA",
"license": "005813",
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "GA",
"license": "005813",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00226443B",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00226443A",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Shoppers Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Eatonton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.