Georgia Oxygen Pharmacy

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

GEORGIA OXYGEN PHARMACY

Practice address

9 Russell Dr
Ste 101
Ellijay, GA 30540-4001

Phone

(706) 515-4545

NPI assigned

Mar 20, 2007

Organization subpart

No

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

Authorized official

Name

Ed Hill

Title

Owner

Phone

(229) 423-7809

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Georgia Oxygen Pharmacy4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Georgia Oxygen Pharmacy

  • Oxygen Equipment & Supplies (DME)
  • Chatsworth, GA
  • NPI 1306961453
  NPD tax ID
• Georgia Oxygen Pharmacy

  • Oxygen Equipment & Supplies (DME)
  • Eastman, GA
  • NPI 1861517070
  NPD tax ID
• Georgia Oxygen Pharmacy

  • Oxygen Equipment & Supplies (DME)
  • Blue Ridge, GA
  • NPI 1891810933
  NPD tax ID

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203638400000",
    "number": "1497870539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 S GRANT ST",
            "city": "FITZGERALD",
            "state": "GA",
            "postal_code": "317503315",
            "telephone_number": "229-424-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 RUSSELL DR",
            "address_2": "STE 101",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "305404001",
            "telephone_number": "706-515-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA OXYGEN PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2008-02-22",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "ED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-423-7809"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00923348C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Brooke Lauren Gibson, COTA/L
• Gilmer County Ambulance Service
• Gilmer County Board of Education

• Oxygen Equipment & Supplies (DME) in Ellijay, GA
• Providers in Ellijay, GA by specialty
• Oxygen Equipment & Supplies (DME) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; 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.