The Medicine of Hazlehurst LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE009050 Issued in GA

Legal business name

THE MEDICINE OF HAZLEHURST LLC

Doing business as

Medicine Cabinet of Hazleburst LLC

Practice address

63 E Jefferson St
Hazlehurst, GA 31539-6435

Phone

(912) 379-9979

Fax

(912) 379-9982

NPI assigned

Jul 11, 2006

Last updated

Jul 21, 2011By 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

Jon Meeks

Title

Owner

Phone

(912) 383-0634

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• MEDICINE CABINET OF HAZLEBURST LLC Doing business as

Locations

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.

• Joan C. Herrington, RPH, PHARMD.

  • Pharmacist
  • Dublin, GA
  • NPI 1275674327
  NPD (past)

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311206400000",
    "number": "1548294705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 E JEFFERSON ST",
            "city": "HAZLEHURST",
            "state": "GA",
            "postal_code": "315396435",
            "telephone_number": "912-379-9979",
            "fax_number": "912-379-9982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 E JEFFERSON ST",
            "city": "HAZLEHURST",
            "state": "GA",
            "postal_code": "315396435",
            "telephone_number": "912-379-9979",
            "fax_number": "912-379-9982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MEDICINE OF HAZLEHURST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2011-07-21",
        "status": "A",
        "authorized_official_last_name": "MEEKS",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-383-0634"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE009050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1149841",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "076903698C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICINE CABINET OF HAZLEBURST LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ethan Stone
• Sunbridge Jeff Davis Healthcare LLC (Hazelhurst Court Care and Rehabilitation Center)
• Sunrise Behavioral Therapy LLC (Sunrise Behavioral Therapy)
• T&R Carepack Solutions LLC
• Cara Taylor, RN, MSN
• Tony Sparks, LLC Dba Hazlehurst Pediatrics
• Trinity Therapy Services Inc
• David L Turfler, MD
• Jason Kyle Varnadoe, O.D.
• Melanie Brooke Varnadore, PHARMD, RPH

• Community/Retail Pharmacy in Hazlehurst, GA
• Providers in Hazlehurst, 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 Jul 21, 2011; 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.