Organization Active NPI

Niday Drug Company LLC

  • Community/Retail Pharmacy
  • Moultrie, GA
National Provider Identifier
1487128799
Registry record updated Jan 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
NIDAY DRUG COMPANY LLC
Practice address
2707 S Main St
Moultrie, GA 31768-6906
Phone
(229) 426-2829
NPI assigned
Jan 20, 2019
Last updated
Jan 20, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2019

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

Authorized official

Name
Dr. Mark Niday, RPHNPI 1568839959
Title
Pharmacist-in-Charge
Phone
(229) 426-2829

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

2707 S Main St
Moultrie, GA 31768-6906

Mailing address

2707 S Main St
Moultrie, GA 31768-6906

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200327002873 GA Part B Supplier - Pharmacy 7719316637 Practice locations: Moultrie, GA

National Provider Directory

National Provider Directory

Locations

2707 S Main St
Moultrie, GA 31768
Phone (229) 426-2829

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1547942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547942400000",
    "number": "1487128799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2707 S MAIN ST",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317686906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 S MAIN ST",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317686906",
            "telephone_number": "229-426-2829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIDAY DRUG COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-20",
        "last_updated": "2019-01-20",
        "status": "A",
        "authorized_official_last_name": "NIDAY",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PHARMACIST-IN-CHARGE",
        "authorized_official_telephone_number": "229-426-2829",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moultrie, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2019; 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.