Mulberry Drugs Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MULBERRY DRUGS INC

Practice address

20 N Mulberry St
Jackson, GA 30233

Phone

(678) 712-3881

Fax

(678) 712-3957

NPI assigned

Jun 27, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Derrick Keith Jones, PHARMACIST

Title

Pic/Owner

Phone

(404) 273-4198

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1656288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656288000000",
    "number": "1457083685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 N MULBERRY ST",
            "city": "JACKSON",
            "state": "GA",
            "postal_code": "30233",
            "telephone_number": "678-712-3881",
            "fax_number": "678-712-3957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 N MULBERRY ST",
            "city": "JACKSON",
            "state": "GA",
            "postal_code": "30233",
            "telephone_number": "678-712-3881",
            "fax_number": "678-712-3957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULBERRY DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-27",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-20",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "PIC/OWNER",
        "authorized_official_telephone_number": "404-273-4198",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Retail Pharmacy in Jackson, GA
• Providers in Jackson, GA by specialty
• Community/Retail Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; 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.