Active NPI
Pharma-Serv Inc
Doing business as City Pharmacy
- Pharmacy
- Lincolnton, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- RPH.004193
- Legal business name
- PHARMA-SERV INC
- Doing business as
- City Pharmacy
- Practice address
- 114 Main Street
City Pharmacy
Lincolnton, GA 30817 - Phone
- (706) 359-3618
- Fax
- (706) 359-5734
- NPI assigned
- Oct 2, 2006
- Last updated
- Nov 2, 2010
- 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
- Heba Labib Kaldas, BS
- Title
- Owner/Pharmacist
- Phone
- (706) 359-3618
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 |
|---|---|---|---|---|
| Pharmacy | 333600000X | RPH.004193 | GA | Primary |
Addresses
Primary practice location
114 Main Street
City Pharmacy
Lincolnton, GA 30817
Mailing address
P O Box 368
114 Main Street
Lincolnton, GA 30817
Phone (706) 359-3618
Other names 1
- CITY PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930099270 | GA | DME Supplier - Pharmacy | 1254548878 | Practice locations: Lincolnton, GA |
| O20200818002040 | GA | Part B Supplier - Mass Immunization (Roster Biller Only) | 1254548878 | Practice locations: Lincolnton, GA |
| O20210824003319 | GA | Part B Supplier - Independent Clinical Laboratory | 1254548878 | Practice locations: Lincolnton, GA |
National Provider Directory
National Provider Directory- Tax ID family
- City Pharmacy
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pharmacy
- Augusta, GA
- NPI 1114012119
Locations
114 Main St
Lincolnton, GA 30817
Phone (706) 359-3618
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.
-
- Pharmacist
- Augusta, GA
- NPI 1316031990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1288656000000",
"number": "1497848105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P O BOX 368",
"address_2": "114 MAIN STREET",
"city": "LINCOLNTON",
"state": "GA",
"postal_code": "30817",
"telephone_number": "706-359-3618",
"fax_number": "706-359-5734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 MAIN STREET",
"address_2": "CITY PHARMACY",
"city": "LINCOLNTON",
"state": "GA",
"postal_code": "30817",
"telephone_number": "706-359-3618",
"fax_number": "706-359-5734"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHARMA-SERV INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-02",
"last_updated": "2010-11-02",
"status": "A",
"authorized_official_last_name": "KALDAS",
"authorized_official_first_name": "HEBA",
"authorized_official_middle_name": "LABIB",
"authorized_official_title_or_position": "OWNER/PHARMACIST",
"authorized_official_telephone_number": "706-359-3618",
"authorized_official_credential": "BS"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "GA",
"license": "RPH.004193",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "CITY PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Lincolnton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; 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.