Active NPI
Chancy Drugs North Valdosta LLC
- Community/Retail Pharmacy
- Valdosta, GA
National Provider Identifier
1457075731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- CHANCY DRUGS NORTH VALDOSTA LLC
- Practice address
- 3782 Old US 41 N
Valdosta, GA 31602-6882 - Phone
- (229) 253-0067
- Fax
- (229) 219-1588
- NPI assigned
- Sep 29, 2022
- 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
- Patrick M Chancy, PHARMD
- Title
- Pharmacist
- Phone
- (229) 794-3525
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
3782 Old US 41 N
Valdosta, GA 31602-6882
Mailing address
205B East Main St
Hahira, GA 31632
Phone (229) 794-3525
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003276034A | Medicaid | GA |
Other names 1
- AmeriMed Pharmacy & Equipment, LLC
National Provider Directory
National Provider Directory- Tax ID family
- Amerimed Pharmacy Equipment LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Valdosta, GA
- NPI 1447324066
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664409600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1751500800000",
"number": "1457075731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205B EAST MAIN ST",
"city": "HAHIRA",
"state": "GA",
"postal_code": "31632",
"telephone_number": "229-794-3525",
"fax_number": "229-794-1059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3782 OLD US 41 N",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316026882",
"telephone_number": "229-253-0067",
"fax_number": "229-219-1588"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHANCY DRUGS NORTH VALDOSTA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-29",
"last_updated": "2025-07-03",
"certification_date": "2025-07-03",
"status": "A",
"authorized_official_last_name": "CHANCY",
"authorized_official_first_name": "PATRICK",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PHARMACIST",
"authorized_official_telephone_number": "229-794-3525",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003276034A",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "AmeriMed Pharmacy & Equipment, LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}Other providers in Valdosta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.