Pack Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PACK PHARMACY LLC

Practice address

253 E Oglethorpe Blvd
Albany, GA 31705-2705

Phone

(229) 903-8838

Fax

(229) 903-8839

NPI assigned

Jul 16, 2018

Last updated

Jun 13, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Osita Abanah, PHARMACISTNPI 1104241314

Title

Owner/Pharmacy Manager

Phone

(229) 903-8838

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Osita Abanah

  • Pharmacist
  • Tallahassee, FL
  • NPI 1104241314
  NPD Authorized official

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

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749772800000",
    "number": "1457837296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 E OGLETHORPE BLVD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317052705",
            "telephone_number": "229-903-8838",
            "fax_number": "229-903-8839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 E OGLETHORPE BLVD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317052705",
            "telephone_number": "229-903-8838",
            "fax_number": "229-903-8839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACK PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-16",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A",
        "authorized_official_last_name": "ABANAH",
        "authorized_official_first_name": "OSITA",
        "authorized_official_title_or_position": "OWNER/PHARMACY MANAGER",
        "authorized_official_telephone_number": "229-903-8838",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003210114A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gwendolyn P Owen, LPC
• James Elvin Owen, MD
• Robin Owens, PA-C
• P.a.Helping Hands Inc (PATS TRANSPORTATION Services)
• Pack Healthcare (Pack Healthcare LLC)
• James Vincent Palazzolo, MD
• Abby Palmer, RN
• Rhonda L Palmer, RPT
• Palmyra Brain & Spine Center, LLC
• Palmyra Emergency Group LLC

• Community/Retail Pharmacy in Albany, GA
• Providers in Albany, 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 13, 2025; 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.