NPIMap

Au Medical Center, Inc.

Organization Active NPI Community/Retail Pharmacy · Augusta, GA

NPI 1487901476 · NPPES record last updated Oct 9, 2025

Key facts

NPI
1487901476
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
License
PHRE009871 (GA)
Legal business name
AU MEDICAL CENTER, INC.
Practice address
1481 Laney Walker Blvd Ste 1600
Augusta, GA 30912-0004
Phone
(706) 723-0900
Fax
(706) 723-0910
NPI assigned
Aug 8, 2012
Organization subpart
No

Authorized official

Name
Rashad Darby, PHARMD.
Title
Pharmacy Manager,Pic, Bank
Phone
(762) 375-5722

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Practitioners 117

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

View all 117

Laboratory certificates & supplier records

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

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Au Medical Center, Inc.
1481 Laney Walker Blvd, Augusta, GA 30912-0002 · (706) 723-0900		 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignment
Participating since Jan 1, 2007

Medicare participation

Medicare fee-for-service enrollment
Enrolled in GA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20230421002449 GA DME Supplier - Pharmacy 7618866229 Practice locations: Augusta, GA

National Provider Directory

Locations

1120 15th St
#1964
Augusta, GA 30912
Phone (706) 723-0909

937 15th St
Augusta, GA 30912
Phone (706) 721-2426

1481 Laney Walker Blvd
Ste 1600
Augusta, GA 30912
Phone (706) 723-0900

1481 Laney Walker Blvd
Augusta, GA 30912
Phone (706) 446-1247

821 Saint Sebastian Way
Augusta, GA 30912
Phone (706) 650-6700

1411 Laney Walker Blvd
Augusta, GA 30912
Phone (706) 721-2505

480 Martin Luther King Rd
Unit A
Keysville, GA 30816
Phone (706) 547-6801

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHRE009871 GA Yes

Addresses

Primary practice location

1481 Laney Walker Blvd Ste 1600
Augusta, GA 30912-0004

Mailing address

1120 15TH St Pharmacy Dept
Augusta, GA 30912-0004
Phone (706) 723-0900

Other identifiers

IdentifierTypeStateIssuer
2136200OtherPK
003159433AMedicaidGA

Other names

  • AU Medical Center Employee Pharmacy Doing business as
  • Wellstar MCG Health Employee Pharmacy Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 9, 2025.

{
    "created_epoch": "1344384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759968000000",
    "number": "1487901476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 15TH ST PHARMACY DEPT",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309120004",
            "telephone_number": "706-723-0900",
            "fax_number": "706-723-0910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1481 LANEY WALKER BLVD STE 1600",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309120004",
            "telephone_number": "706-723-0900",
            "fax_number": "706-723-0910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AU MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-08",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A",
        "authorized_official_last_name": "DARBY",
        "authorized_official_first_name": "RASHAD",
        "authorized_official_title_or_position": "PHARMACY MANAGER,PIC, BANK",
        "authorized_official_telephone_number": "762-375-5722",
        "authorized_official_credential": "PHARMD."
    },
    "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": "PHRE009871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2136200",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003159433A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AU Medical Center Employee Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wellstar MCG Health Employee Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Augusta, GA

All providers in Augusta, GA · Community/Retail Pharmacy in Georgia

Sources for this page

Verify at the official NPI Registry.