Organization Active NPI

Medicap Pharmacy

  • Pharmacy
  • Athens, GA
National Provider Identifier
1477564979
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PHRE009005 Issued in GA
Legal business name
MEDICAP PHARMACY
Practice address
824 Hull Rd Ste B
Athens, GA 30601-1534
Phone
(706) 369-5822
Fax
(706) 369-5825
NPI assigned
Aug 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Keith Goss
Title
Owner
Phone
(706) 369-5822

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHRE009005 GA Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

824 Hull Rd Ste B
Athens, GA 30601-1534

Mailing address

824 Hull Rd Ste B
Athens, GA 30601-1534

Other identifiers 1

IdentifierTypeStateIssuer
1153965OtherOTHER ID NUMBER-COMMERCIAL NUMBER

National Provider Directory

National Provider Directory

Locations

824 Hull Rd
#B
Athens, GA 30601
Phone (706) 369-5822

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1477564979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 HULL RD STE B",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306011534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 HULL RD STE B",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306011534",
            "telephone_number": "706-369-5822",
            "fax_number": "706-369-5825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAP PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "GOSS",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-369-5822"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "GA",
            "license": "PHRE009005",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "1153965",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.