Active NPI
T and P Pharmacy
Doing business as Blue Ridge Pharmacy
- Community/Retail Pharmacy
- Blue Ridge, GA
National Provider Identifier
1548322118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHRE009677
- Legal business name
- T AND P PHARMACY
- Doing business as
- Blue Ridge Pharmacy
- Practice address
- 6020 Appalachian Hwy
Blue Ridge, GA 30513-4283 - Phone
- (706) 632-2244
- Fax
- (706) 632-4440
- NPI assigned
- Dec 13, 2006
- Last updated
- Apr 28, 2017
- 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
- Steven Purvis, RPH
- Title
- Owner
- Phone
- (706) 632-2244
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PHRE009677 | GA | Primary |
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
6020 Appalachian Hwy
Blue Ridge, GA 30513-4283
Mailing address
6020 Appalachian Hwy
Blue Ridge, GA 30513-4283
Phone (706) 632-2244
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2127040 | Other | PK | |
| 000022107A | Medicaid | GA |
Other names 1
- Blue Ridge Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110316000682 | GA | Part B Supplier - Mass Immunization (Roster Biller Only) | 7315126646 |
1 other NPI on this enrollment Practice locations: Blue Ridge, GA |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Riverstone Pharmacy
- Community/Retail Pharmacy
- Blue Ridge, GA
- NPI 1255796082
O20110316000682
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2234743 | Blue Ridge Pharmacy | Certificate of waiver | Sep 1, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1493337600000",
"number": "1548322118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6020 APPALACHIAN HWY",
"city": "BLUE RIDGE",
"state": "GA",
"postal_code": "305134283",
"telephone_number": "706-632-2244",
"fax_number": "706-632-4440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6020 APPALACHIAN HWY",
"city": "BLUE RIDGE",
"state": "GA",
"postal_code": "305134283",
"telephone_number": "706-632-2244",
"fax_number": "706-632-4440"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "T AND P PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-13",
"last_updated": "2017-04-28",
"status": "A",
"authorized_official_last_name": "PURVIS",
"authorized_official_first_name": "STEVEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "706-632-2244",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "GA",
"license": "PHRE009677",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2127040",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000022107A",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Blue Ridge Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Blue Ridge, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.