NPIMap

Organization Active NPI

Americus & Sumter County Hospital Authority

Doing business as Sumter Regional Hospital Phcy

  • Institutional Pharmacy
  • Americus, GA
National Provider Identifier
1407963069
Registry record updated Jun 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Institutional PharmacyTaxonomy code 3336I0012X
License
006357 Issued in GA
Legal business name
AMERICUS & SUMTER COUNTY HOSPITAL AUTHORITY
Doing business as
Sumter Regional Hospital Phcy
Practice address
100 Wheatley Dr
Americus, GA 31709-3788
Phone
(229) 931-1265
Fax
(229) 931-1175
NPI assigned
Aug 23, 2006
Last updated
Jun 16, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2010

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

Authorized official

Name
Darryl Hawkins, RPH
Title
Dir of Phcy
Phone
(229) 931-1265

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Institutional Pharmacy 3336I0012X 006357 GA Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

100 Wheatley Dr
Americus, GA 31709-3788

Mailing address

100 Wheatley Dr
Americus, GA 31709-3788
Phone (229) 931-1265

Other identifiers 2

IdentifierTypeStateIssuer
00679511AMedicaidGA
1136185OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • SUMTER REGIONAL HOSPITAL PHCY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sumter Regional Hospita4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276646400000",
    "number": "1407963069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WHEATLEY DR",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317093788",
            "telephone_number": "229-931-1265",
            "fax_number": "229-931-1175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WHEATLEY DR",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317093788",
            "telephone_number": "229-931-1265",
            "fax_number": "229-931-1175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICUS & SUMTER COUNTY HOSPITAL AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2010-06-16",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "DARRYL",
        "authorized_official_title_or_position": "DIR OF PHCY",
        "authorized_official_telephone_number": "229-931-1265",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "GA",
            "license": "006357",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00679511A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1136185",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUMTER REGIONAL HOSPITAL PHCY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Americus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2010; 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.