Organization Active NPI

T and P Pharmacy

Doing business as Blue Ridge Pharmacy

  • Community/Retail Pharmacy
  • Blue Ridge, GA
National Provider Identifier
1548322118
Registry record updated Apr 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHRE009677 Issued in GA
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, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2017

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2127040OtherPK
000022107AMedicaidGA

Other names 1

  • Blue Ridge Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2234743Blue Ridge Pharmacy6020 Appalachian Highway, Blue Ridge, GA 30513Certificate of waiverSep 1, 2027

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.