Organization Active NPI

Infu-RX, Inc. Dba Family Drug Center

  • Community/Retail Pharmacy
  • Blue Ridge, GA
National Provider Identifier
1558409078
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
004989 Issued in GA
Legal business name
INFU-RX, INC. DBA FAMILY DRUG CENTER
Practice address
114 Professional Rd
Blue Ridge, GA 30513-6205
Phone
(706) 632-3688
Fax
(706) 632-2398
NPI assigned
Feb 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Jerry M Beaver Jr., PHARMACIST
Title
Chief Pharmacist
Phone
(706) 632-3688

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 004989 GA Primary

Addresses

Primary practice location

114 Professional Rd
Blue Ridge, GA 30513-6205

Mailing address

114 Professional Rd
Blue Ridge, GA 30513
Phone (706) 632-3688

Other identifiers 2

IdentifierTypeStateIssuer
1135563OtherGANABP NUMBER
00405985AMedicaidGA

National Provider Directory

National Provider Directory

Locations

114 Professional Rd
Blue Ridge, GA 30513
Phone (706) 632-3649

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558409078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 PROFESSIONAL RD",
            "city": "BLUE RIDGE",
            "state": "GA",
            "postal_code": "30513",
            "telephone_number": "706-632-3688",
            "fax_number": "706-632-2398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 PROFESSIONAL RD",
            "city": "BLUE RIDGE",
            "state": "GA",
            "postal_code": "305136205",
            "telephone_number": "706-632-3688",
            "fax_number": "706-632-2398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFU-RX, INC. DBA FAMILY DRUG CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BEAVER",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIEF PHARMACIST",
        "authorized_official_telephone_number": "706-632-3688",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "004989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP NUMBER",
            "identifier": "1135563",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00405985A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.