Active NPI
Swain Drug Company LLC
- Community/Retail Pharmacy
- Douglas, GA
National Provider Identifier
1508470964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jared William Swain, PHARMD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Douglas, GA
- NPI 1518616440
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Douglas, GA
- NPI 1578812962
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.