Tims Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE009409 Issued in GA

Legal business name

TIMS PHARMACY INC

Doing business as

Tims Pharmacy

Practice address

130 Magnolia LN
Cornelia, GA 30531-2297

Phone

(706) 776-3784

Fax

(706) 776-3788

NPI assigned

Nov 13, 2007

Organization subpart

No

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

Authorized official

Name

Kim Kaminski, BS PHARMACY

Title

Owner

Phone

(706) 776-3784

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• TIMS PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly B Kaminski, RPH

  • Pharmacist
  • Cornelia, GA
  • NPI 1033756473
  NPD
• Chester Riley Baker, NP RN CS

  • Family Nurse Practitioner
  • Cornelia, GA
  • NPI 1396735155
  NPD (past)
• Hayden Black, PHARMD

  • Pharmacist
  • Cornelia, GA
  • NPI 1548859515
  NPD (past)

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732838400000",
    "number": "1457531006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 457",
            "city": "CORNELIA",
            "state": "GA",
            "postal_code": "305311006",
            "telephone_number": "706-776-3784",
            "fax_number": "706-776-3788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 MAGNOLIA LN",
            "city": "CORNELIA",
            "state": "GA",
            "postal_code": "305312297",
            "telephone_number": "706-776-3784",
            "fax_number": "706-776-3788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2024-11-29",
        "certification_date": "2024-11-29",
        "status": "A",
        "authorized_official_last_name": "KAMINSKI",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-776-3784",
        "authorized_official_credential": "BS PHARMACY"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE009409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2016759",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TIMS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy E Stewart
• Pabitra Bhugai Subedi
• T.M.D.H., Inc. (Arnold Drug Company)
• T.M.D.H., Inc. (Arnold Drug Company LTC)
• Thrive Health, LLC.
• Tims Pharmacy Inc (Tim's Pharmacy LTC)
• Town Central Insurance
• Town Central Insurance
• Neonia Lynn Townley, FNP-BC
• United Psychology Center, LLC (Northeast Georgia Clinic)

• Community/Retail Pharmacy in Cornelia, GA
• Providers in Cornelia, 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 Nov 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.