NPIMap

Organization Active NPI

Georgia Southern University Health Services Pharmacy

  • Community/Retail Pharmacy
  • Statesboro, GA
National Provider Identifier
1578861431
Registry record updated Jan 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHRE009598 Issued in GA
Legal business name
GEORGIA SOUTHERN UNIVERSITY HEALTH SERVICES PHARMACY
Practice address
984 Plant Dr
Statesboro, GA 30460-0001
Phone
(912) 478-5780
Fax
(912) 478-8523
NPI assigned
Mar 2, 2011
Last updated
Jan 28, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
GEORGIA SOUTHERN UNIVERSITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 28, 2016

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

Authorized official

Name
Mrs. E Diane Norris, MA
Title
Director of Health Services
Phone
(912) 478-7288

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHRE009598 GA Primary

Addresses

Primary practice location

984 Plant Dr
Statesboro, GA 30460-0001

Mailing address

984 Plant Dr
Statesboro, GA 30460-0001
Phone (912) 478-5780

National Provider Directory

National Provider Directory
Tax ID family
Georgia Southern University7 organizations share this tax ID, including this one
Part of
Georgia Southern University

Other organizations with this tax ID 6

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

Locations

984 Plant Dr
Statesboro, GA 30460
Phone (912) 478-5641

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1299024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453939200000",
    "number": "1578861431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "984 PLANT DR",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304600001",
            "telephone_number": "912-478-5780",
            "fax_number": "912-478-8523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "984 PLANT DR",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304600001",
            "telephone_number": "912-478-5780",
            "fax_number": "912-478-8523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA SOUTHERN UNIVERSITY HEALTH SERVICES PHARMACY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GEORGIA SOUTHERN UNIVERSITY",
        "enumeration_date": "2011-03-02",
        "last_updated": "2016-01-28",
        "status": "A",
        "authorized_official_last_name": "NORRIS",
        "authorized_official_first_name": "E",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "DIRECTOR OF HEALTH SERVICES",
        "authorized_official_telephone_number": "912-478-7288",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE009598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2016; 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.