Organization Active NPI

Perry Drug Company Inc

  • Community/Retail Pharmacy
  • Perry, GA
National Provider Identifier
1477512721
Registry record updated Apr 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHRE008620 Issued in GA
Legal business name
PERRY DRUG COMPANY INC
Doing business as
PERRY DRUG COMPANY
Practice address
1036A Macon Rd
Perry, GA 31069-3328
Phone
(478) 988-1144
Fax
(478) 988-8413
NPI assigned
Mar 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2009

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

Authorized official

Name
James Bartlett, RPH
Title
Owner
Phone
(478) 988-1144

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHRE008620 GA Primary

Addresses

Primary practice location

1036A Macon Rd
Perry, GA 31069-3328

Mailing address

PO Box 654
Perry, GA 31069-0654

Other identifiers 2

IdentifierTypeStateIssuer
1149889OtherNCPDP PROVIDER IDENTIFICATION NUMBER
00951948AMedicaidGA

Other names 1

  • PERRY DRUG COMPANY Doing business as

National Provider Directory

National Provider Directory

Locations

1036A Macon Rd
Perry, GA 31069
Phone (478) 988-1144

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240876800000",
    "number": "1477512721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 654",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310690654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1036A MACON RD",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310693328",
            "telephone_number": "478-988-1144",
            "fax_number": "478-988-8413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERRY DRUG COMPANY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-23",
        "last_updated": "2009-04-28",
        "status": "A",
        "authorized_official_last_name": "BARTLETT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-988-1144",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE008620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1149889",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00951948A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PERRY DRUG COMPANY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Perry, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2009; 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.