Organization Active NPI

Lamar Lingenfelter, Inc

Doing business as Lamar's Pharmacy

  • Community/Retail Pharmacy
  • Alma, GA
National Provider Identifier
1538170451
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5001 Issued in GA
Legal business name
LAMAR LINGENFELTER, INC
Doing business as
Lamar's Pharmacy
Practice address
905 S Pierce St
Alma, GA 31510-3528
Phone
(912) 632-8925
Fax
(912) 632-2127
NPI assigned
Aug 10, 2006
Last updated
Aug 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Authorized official

Name
Dr. James Edward Jordan, PHARMDNPI 1821198458
Title
Owner/Chief Pharmacist
Phone
(912) 632-8925

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 5001 GA
Community/Retail Pharmacy 3336C0003X 5001 GA Primary

Addresses

Primary practice location

905 S Pierce St
Alma, GA 31510-3528

Mailing address

905 S Pierce St
Alma, GA 31510-3528
Phone (912) 632-8925

Other identifiers 2

IdentifierTypeStateIssuer
654411735AMedicaidGA
00135836AMedicaidGA

Other names 1

  • Lamar'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
O20081023000079 GA Part B Supplier - Mass Immunization (Roster Biller Only) 2062570849 Practice locations: Alma, GA
O20100930100251 GA DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered Pharmacist 2062570849 Practice locations: Alma, GA

National Provider Directory

National Provider Directory

Locations

905 S Pierce St
Alma, GA 31510
Phone (912) 632-8925

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.

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723075200000",
    "number": "1538170451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 S PIERCE ST",
            "city": "ALMA",
            "state": "GA",
            "postal_code": "315103528",
            "telephone_number": "912-632-8925",
            "fax_number": "912-632-2127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 S PIERCE ST",
            "city": "ALMA",
            "state": "GA",
            "postal_code": "315103528",
            "telephone_number": "912-632-8925",
            "fax_number": "912-632-2127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAMAR LINGENFELTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER/CHIEF PHARMACIST",
        "authorized_official_telephone_number": "912-632-8925",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "5001",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "5001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "654411735A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00135836A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lamar's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alma, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; 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.