Universal Pharm Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE006910 Issued in GA

Legal business name

UNIVERSAL PHARM INC

Doing business as

Doctors Pharmacy

Practice address

298 Medical Court
Oglethorpe, GA 31068

Phone

(478) 472-2040

Fax

(912) 472-9822

NPI assigned

Jul 28, 2006

Last updated

Jun 16, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Randy Keene, PHRM

Title

Owner

Phone

(478) 472-2040

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• DOCTORS PHARMACY Doing business as

Locations

Practitioners 4

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.

• Hugh Glenn Cross, RPH

  • Pharmacist
  • Oglethorpe, GA
  • NPI 1831105188
  NPD (past)
• George Randall Keene, RPH

  • Pharmacist
  • Oglethorpe, GA
  • NPI 1952317398
  NPD (past)
• Grace Griffin Poole, PHARMD

  • Pharmacist
  • Oglethorpe, GA
  • NPI 1801126982
  NPD (past)
• Patti C Wright, PHARMD

  • Pharmacist
  • Oglethorpe, GA
  • NPI 1952317059
  NPD (past)

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466035200000",
    "number": "1508870155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 322",
            "city": "OGLETHORPE",
            "state": "GA",
            "postal_code": "310680322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "298 MEDICAL COURT",
            "city": "OGLETHORPE",
            "state": "GA",
            "postal_code": "31068",
            "telephone_number": "478-472-2040",
            "fax_number": "912-472-9822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL PHARM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2016-06-16",
        "status": "A",
        "authorized_official_last_name": "KEENE",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-472-2040",
        "authorized_official_credential": "PHRM"
    },
    "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": "PHRE006910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0036295317",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2015889",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DOCTORS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Macon State Prison Regional Pharmacy
• Uriyah A Mathis, LAT, ATC
• Middle Flint Community Service Board
• Grace Griffin Poole, PHARMD
• PRN Healthcare Inc
• Whole Heart Home Care, Inc.
• Carl Felton Williams III, DDS
• Patti C Wright, PHARMD
• Bertha Yoder, CPM
• Eldon Yoder

• Community/Retail Pharmacy in Oglethorpe, GA
• Providers in Oglethorpe, 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 Jun 16, 2016; 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.