Active NPI
Medicine Stop LLC
- Community/Retail Pharmacy
- Montezuma, GA
National Provider Identifier
1487336129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dhara Patel, PHARMD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240418003032 | GA | Part B Supplier - Mass Immunization (Roster Biller Only) | 1951740299 | Practice locations: Montezuma, GA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2326330 | Medicine Stop II | Certificate of waiver | Jun 30, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Unadilla, GA
- NPI 1326346974
-
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Warner Robins, GA
- NPI 1881294908
-
- Pharmacist
- Montezuma, GA
- NPI 1700452216
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
- Macon County Community Hospital, Inc.
- Macon County Convenient Care
- Macon County Medical Center, Inc Dba Flint River Community Hospital
- Macon County Medical Center, Inc.
- Demetria Anise McDonald
- Middle Flint Area Community Service Board
- Joshua Minich, APRN, RN
- Montezuma Health Care Center LLC
- Montezuma Health Care Center LLC
- Montezuma Health Care Center LLC
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.