Active NPI
Infu-RX, Inc. Dba Family Drug Center
- Community/Retail Pharmacy
- Blue Ridge, GA
National Provider Identifier
1558409078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 004989
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1135563 | Other | GA | NABP NUMBER |
| 00405985A | Medicaid | GA |
National Provider Directory
National Provider DirectoryLocations
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.