Royston Drug Store Inc
Organization Active NPI Community/Retail Pharmacy · Royston, GA
NPI 1437240397 · NPPES record last updated Apr 21, 2022
Key facts
- NPI
- 1437240397
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- ROYSTON DRUG STORE INC
- Practice address
- 26 Franklin Springs St
Royston, GA 30662-4109 - Phone
- (706) 245-7223
- Fax
- (706) 245-6727
- NPI assigned
- Sep 27, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Christy B Phillips-Malcom, R.PH
- Title
- Ceo/Owner
- Phone
- (706) 245-7223
Corporate family (same tax ID) 1
Practitioners 1
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Royston Drug Store Inc |
Nebulizer Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Hospital Beds (Electric)|Canes and/or Crutches|Seat Lift Mechanisms|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Accessories)|Wheelchair Seating/Cushion… | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930051601 | GA | DME Supplier - Pharmacy | 9638297237 | Practice locations: Royston, GA |
| O20101216000057 | GA | Part B Supplier - Mass Immunization (Roster Biller Only) | 9638297237 | Practice locations: Royston, GA |
National Provider Directory
- Tax ID family
- Royston Drug Store Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist |
183500000X | PHRE004096 | GA | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
26 Franklin Springs St
Royston, GA 30662-4109
Mailing address
26 Franklin Springs St
Royston, GA 30662-4109
Phone (706) 245-7223
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00035351B | Medicaid | GA |
Other providers in Royston, GA
- Ram K Reddy
- Stacy Reel
- Crystal Roach
- Royston Animal Hospital
- Royston Chiropractic Clinic, LLC
- Royston Drug Store, Inc
- Royston Medical Associates PC
- Phoebe Basem Sahawneh
- Casey Salcedo
- Kylie Guest Sanders
All providers in Royston, GA · Community/Retail Pharmacy in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.