Organization Active NPI

Swain Drug Company LLC

  • Community/Retail Pharmacy
  • Douglas, GA
National Provider Identifier
1508470964
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SWAIN DRUG COMPANY LLC
Practice address
855 Bowens Mill Rd SW Suite E
Douglas, GA 31533
Phone
(912) 260-1064
Fax
(912) 600-1975
NPI assigned
Sep 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2021

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

Authorized official

Name
Dr. Jared William Swain, PHARMDNPI 1578812962
Title
Sole Member
Phone
(912) 260-1064

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)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

855 Bowens Mill Rd SW Suite E
Douglas, GA 31533

Mailing address

855 Bowens Mill Rd SW Ste E
Douglas, GA 31533-3925
Phone (912) 260-1064

Other names 1

  • Swain's Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210129001305 GA Part B Supplier - Pharmacy 9931513132 Practice locations: Douglas, GA
O20210720002318 GA DME Supplier - Pharmacy 9931513132 Practice locations: Douglas, GA

National Provider Directory

National Provider Directory
Tax ID family
Swain Drug Company LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1599091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620604800000",
    "number": "1508470964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 BOWENS MILL RD SW STE E",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315333925",
            "telephone_number": "912-260-1064",
            "fax_number": "912-600-1975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 BOWENS MILL RD SW SUITE E",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "31533",
            "telephone_number": "912-260-1064",
            "fax_number": "912-600-1975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWAIN DRUG COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-03",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A",
        "authorized_official_last_name": "SWAIN",
        "authorized_official_first_name": "JARED",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "912-260-1064",
        "authorized_official_name_prefix": "Dr.",
        "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": "Swain's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Swain's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Douglas, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; 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.

Verify at the official NPI Registry.