Individual provider Active NPI

Lindsay McCoy

  • Pharmacist
  • Athens, GA
National Provider Identifier
1538760681
Registry record updated Nov 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH027252 Issued in GA
Practice address
240 Mitchell Bridge Rd
Athens, GA 30606-2043
Phone
(706) 850-4955
NPI assigned
Nov 5, 2020
Last updated
Nov 5, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH027252 GA Primary

Addresses

Primary practice location

240 Mitchell Bridge Rd
Athens, GA 30606-2043

Mailing address

300 Timber Creek Dr
Athens, GA 30605-7026
Phone (404) 993-0896

Other practice location 1

740 Prince Ave
Athens, GA 30606-5908
Phone (706) 548-4444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RPH027252GAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Village Drug Shop at Advantage LLC Current Accepting new patients
Village Drug Shop at Advantage LLC Current Accepting new patients
Village Drug Shop of Athens Inc Past Accepting new patients

Locations

240 Mitchell Bridge Rd
Athens, GA 30606
Phone (706) 389-6767

740 Prince Ave
Athens, GA 30606
Phone (706) 548-0008

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1604534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1538760681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 TIMBER CREEK DR",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306057026",
            "telephone_number": "404-993-0896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 MITCHELL BRIDGE RD",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062043",
            "telephone_number": "706-850-4955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "740 Prince Ave",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "GA",
            "postal_code": "306065908",
            "country_code": "US",
            "telephone_number": "706-548-4444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "LINDSAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-05",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH027252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; 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.