Organization Active NPI

Hortons Drug Store Inc

Doing business as Hortons Drug Store

  • Pharmacy
  • Athens, GA
National Provider Identifier
1437208964
Registry record updated Jun 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PHRE003490 Issued in GA
Legal business name
HORTONS DRUG STORE INC
Doing business as
Hortons Drug Store
Practice address
101 E Clayton St
Athens, GA 30601-2702
Phone
(706) 543-3454
Fax
(706) 543-0244
NPI assigned
Jan 10, 2007
Last updated
Jun 5, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2012

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

Authorized official

Name
Pam Marquess, PHARMD
Title
Pharmacist
Phone
(706) 543-5434

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Pharmacy 333600000X PHRE003490 GA Primary
Community/Retail Pharmacy 3336C0003X NU
Compounding Pharmacy 3336C0004X NU

Addresses

Primary practice location

101 E Clayton St
Athens, GA 30601-2702

Mailing address

101 E Clayton St
Athens, GA 30601-2702
Phone (706) 543-3454

Other identifiers 1

IdentifierTypeStateIssuer
1101598OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Hortons Drug Store Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hortons Drug Store2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338854400000",
    "number": "1437208964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E CLAYTON ST",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306012702",
            "telephone_number": "706-543-3454",
            "fax_number": "706-543-0244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E CLAYTON ST",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306012702",
            "telephone_number": "706-543-3454",
            "fax_number": "706-543-0244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORTONS DRUG STORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2012-06-05",
        "status": "A",
        "authorized_official_last_name": "MARQUESS",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "706-543-5434",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "GA",
            "license": "PHRE003490",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1101598",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hortons Drug Store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Athens, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.