Organization Active NPI

First Choice Medical Supply LLC

  • Community/Retail Pharmacy
  • Macon, GA
National Provider Identifier
1437077757
Registry record updated Sep 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
FIRST CHOICE MEDICAL SUPPLY LLC
Practice address
4480 Riverside Dr Ste 19
Macon, GA 31210-1363
Phone
(229) 795-1573
Fax
(866) 706-6026
NPI assigned
Jul 6, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2026

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

Authorized official

Name
Mr. Canarvis Brantley
Title
Manager
Phone
(229) 795-1573

Specialties & licenses 1

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

Addresses

Primary practice location

4480 Riverside Dr Ste 19
Macon, GA 31210-1363

Mailing address

4480 Riverside Dr Ste 19
Macon, GA 31210-1363
Phone (229) 795-1573

National Provider Directory

National Provider Directory

Locations

4480 Riverside Dr
Ste 19
Macon, GA 31210
Phone (478) 219-3313

NPI Registry JSON

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

{
    "created_epoch": "1783296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789948800000",
    "number": "1437077757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4480 RIVERSIDE DR STE 19",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312101363",
            "telephone_number": "229-795-1573",
            "fax_number": "866-706-6026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4480 RIVERSIDE DR STE 19",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312101363",
            "telephone_number": "229-795-1573",
            "fax_number": "866-706-6026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CHOICE MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-06",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A",
        "authorized_official_last_name": "BRANTLEY",
        "authorized_official_first_name": "CANARVIS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "229-795-1573",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "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 Sep 21, 2026; 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.