Organization Active NPI

Mobleys Discount Pharmacy Inc

  • Community/Retail Pharmacy
  • Douglas, GA
National Provider Identifier
1578746558
Registry record updated Apr 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHRE007827 Issued in GA
Legal business name
MOBLEYS DISCOUNT PHARMACY INC
Doing business as
Mobleys Discount Pharmacy Inc
Practice address
235 Ward St W
Douglas, GA 31533-3501
Phone
(912) 383-7947
Fax
(912) 383-7823
NPI assigned
Dec 12, 2007
Last updated
Apr 23, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2010

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

Authorized official

Name
Cliff Mobley, RPH
Title
Owner
Phone
(912) 383-7947

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X PHRE007827 GA Primary

Addresses

Primary practice location

235 Ward St W
Douglas, GA 31533-3501

Mailing address

235 Ward St W
Douglas, GA 31533-3501
Phone (912) 383-7947

Other identifiers 2

IdentifierTypeStateIssuer
00640978AMedicaidGA
1141251OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • MOBLEYS DISCOUNT PHARMACY INC Doing business as

National Provider Directory

National Provider Directory

Locations

235 Ward St W
Douglas, GA 31533
Phone (912) 383-7947

NPI Registry JSON

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271980800000",
    "number": "1578746558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 WARD ST W",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315333501",
            "telephone_number": "912-383-7947",
            "fax_number": "912-383-7823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 WARD ST W",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315333501",
            "telephone_number": "912-383-7947",
            "fax_number": "912-383-7823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBLEYS DISCOUNT PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2010-04-23",
        "status": "A",
        "authorized_official_last_name": "MOBLEY",
        "authorized_official_first_name": "CLIFF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-383-7947",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE007827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00640978A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1141251",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MOBLEYS DISCOUNT PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Douglas, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2010; 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.