NPIMap

Organization Active NPI

Au Medical Center, Inc

Doing business as Wellstar MCG Health MOB Retail Pharmacy

  • Community/Retail Pharmacy
  • Augusta, GA
National Provider Identifier
1558028308
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
AU MEDICAL CENTER, INC
Doing business as
Wellstar MCG Health MOB Retail Pharmacy
Practice address
1120 15TH St # Bp1220
Augusta, GA 30912-0004
Phone
(706) 721-5722
NPI assigned
Nov 29, 2021
Last updated
Oct 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Authorized official

Name
Rashad Darby
Title
Manager Community Pharmacy
Phone
(762) 375-5722

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1120 15TH St # Bp1220
Augusta, GA 30912-0004

Mailing address

1120 15TH St
Augusta, GA 30912-0004

Other names 1

  • Wellstar MCG Health MOB Retail Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Au Medical Center Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1120 15th St
#1220
Augusta, GA 30912
Phone (706) 721-5722

NPI Registry JSON

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

{
    "created_epoch": "1638144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759968000000",
    "number": "1558028308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 15TH ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309120004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 15TH ST # BP1220",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309120004",
            "telephone_number": "706-721-5722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AU MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-29",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A",
        "authorized_official_last_name": "DARBY",
        "authorized_official_first_name": "RASHAD",
        "authorized_official_title_or_position": "MANAGER COMMUNITY PHARMACY",
        "authorized_official_telephone_number": "762-375-5722"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellstar MCG Health MOB Retail Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; 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.