Organization Active NPI

Medicine Stop LLC

  • Community/Retail Pharmacy
  • Montezuma, GA
National Provider Identifier
1487336129
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MEDICINE STOP LLC
Practice address
212 N Dooly St
Montezuma, GA 31063-1510
Phone
(478) 316-6004
Fax
(478) 316-6005
NPI assigned
Aug 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Authorized official

Name
Dhara Patel, PHARMDNPI 1326346974
Title
President
Phone
(229) 944-5298

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 Primary

Addresses

Primary practice location

212 N Dooly St
Montezuma, GA 31063-1510

Mailing address

212 N Dooly St
Montezuma, GA 31063-1510
Phone (478) 316-6004

Other names 1

  • Medicine Stop II Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240418003032 GA Part B Supplier - Mass Immunization (Roster Biller Only) 1951740299 Practice locations: Montezuma, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2326330Medicine Stop II212 N Dooly Street, Montezuma, GA 31063Certificate of waiverJun 30, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1690934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759881600000",
    "number": "1487336129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 N DOOLY ST",
            "city": "MONTEZUMA",
            "state": "GA",
            "postal_code": "310631510",
            "telephone_number": "478-316-6004",
            "fax_number": "478-316-6005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 N DOOLY ST",
            "city": "MONTEZUMA",
            "state": "GA",
            "postal_code": "310631510",
            "telephone_number": "478-316-6004",
            "fax_number": "478-316-6005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICINE STOP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-02",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "DHARA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "229-944-5298",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicine Stop II",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Montezuma, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.