Summerville Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE004193 Issued in GA

Legal business name

SUMMERVILLE PHARMACY INC

Practice address

2839 Central Ave
Augusta, GA 30909-3904

Phone

(706) 481-7140

Fax

(706) 733-7301

NPI assigned

Jun 20, 2006

Organization subpart

No

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

Authorized official

Name

Rob Woods

Title

President

Phone

(706) 481-7140

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• SUMMERVILLE PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436313600000",
    "number": "1497791305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2986",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309142986",
            "telephone_number": "706-481-7140",
            "fax_number": "706-733-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2839 CENTRAL AVE",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309093904",
            "telephone_number": "706-481-7140",
            "fax_number": "706-733-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMERVILLE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2015-07-08",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "ROB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-481-7140"
    },
    "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": "PHRE004193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2013033",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000493556C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUMMERVILLE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joshua Sumhlei, DO
• Robert Summers, MD
• Shauna Summers, MD
• Summerville Counseling
• Summerville Pharmacy
• Summerville Surgical Center LLC
• Summerville Women'S Medical Group
• Michael Benjamin Sumner Jr., MD
• Rachel Jones Sun, IBCLC
• Zhuo Sun

• Community/Retail Pharmacy in Augusta, GA
• Providers in Augusta, GA by specialty
• Community/Retail Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2015; 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.