Organization Active NPI

Medex Associates LLC

  • Community/Retail Pharmacy
  • Augusta, GA
National Provider Identifier
1467732701
Registry record updated Jun 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHRE009766 Issued in GA
Legal business name
MEDEX ASSOCIATES LLC
Doing business as
Medex Specialty Pharmacy
Practice address
811 13TH St Ste 10
Augusta, GA 30901-2771
Phone
(706) 434-1590
Fax
(706) 434-1595
NPI assigned
Aug 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2013

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

Authorized official

Name
Hetal Thakore
Title
Officer
Phone
(706) 434-1590

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHRE009766 GA Primary

Addresses

Primary practice location

811 13TH St Ste 10
Augusta, GA 30901-2771

Mailing address

811 13TH St
Suite 10
Augusta, GA 30901-2700
Phone (706) 434-1590

Other identifiers 1

IdentifierTypeStateIssuer
2131382OtherPK

Other names 1

  • Medex Specialty Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Medex Associates LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1313625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372118400000",
    "number": "1467732701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 13TH ST",
            "address_2": "SUITE 10",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012700",
            "telephone_number": "706-434-1590",
            "fax_number": "706-434-1595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 13TH ST STE 10",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012771",
            "telephone_number": "706-434-1590",
            "fax_number": "706-434-1595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDEX ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-18",
        "last_updated": "2013-06-25",
        "status": "A",
        "authorized_official_last_name": "THAKORE",
        "authorized_official_first_name": "HETAL",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "706-434-1590"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE009766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2131382",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medex Specialty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; 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.