Royal Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE002991 Issued in GA

Legal business name

ROYAL PHARMACY

Doing business as

ROYAL PHARMACY

Practice address

1620 John Orr Dr
Tifton, GA 31794-3641

Phone

(229) 382-0480

Fax

(229) 388-8258

NPI assigned

May 25, 2007

Organization subpart

No

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

Authorized official

Name

Daniel Royal

Title

Owner and Pharmacist

Phone

(229) 382-0480

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• ROYAL PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339977600000",
    "number": "1548471055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 JOHN ORR DR",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317943641",
            "telephone_number": "229-382-0480",
            "fax_number": "229-388-8258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 JOHN ORR DR",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317943641",
            "telephone_number": "229-382-0480",
            "fax_number": "229-388-8258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2012-06-18",
        "status": "A",
        "authorized_official_last_name": "ROYAL",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER AND PHARMACIST",
        "authorized_official_telephone_number": "229-382-0480"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE002991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00035329A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1114951",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROYAL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberley Whitley Rodgers, FNP
• Earnestine Rogers
• Catherine Roe Ross, MD
• Savannah Ross, FNP-C
• Flavia S Rossi, M.D.
• Melanie Sumner Royal, MED CCC SLP
• Jaime Ruth Rycroft, CADCI
• No Name Given Samiah, MBBS
• Davina G Samuel, LPC
• Deanna Setters Sanders, PA-C

• Community/Retail Pharmacy in Tifton, GA
• Providers in Tifton, 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 Jun 18, 2012; 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.