Tallapoosa Drug Company Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE004796 Issued in GA

Legal business name

TALLAPOOSA DRUG COMPANY INC

Doing business as

Tallapoosa Drug Company

Practice address

24 W Alabama St
Tallapoosa, GA 30176-1464

Phone

(770) 574-2339

Fax

(770) 574-7307

NPI assigned

Sep 12, 2007

Last updated

Jan 18, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ricky Griffin, RPH

Title

Owner & Pic

Phone

(770) 574-2339

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• TALLAPOOSA DRUG COMPANY Doing business as

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.

• Jacob Mouchet, PHARM D

  • Pharmacist
  • Tallapoosa, GA
  • NPI 1700444296
  NPD (past)

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1609061647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 W ALABAMA ST",
            "city": "TALLAPOOSA",
            "state": "GA",
            "postal_code": "301761464",
            "telephone_number": "770-574-2339",
            "fax_number": "770-574-7307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 W ALABAMA ST",
            "city": "TALLAPOOSA",
            "state": "GA",
            "postal_code": "301761464",
            "telephone_number": "770-574-2339",
            "fax_number": "770-574-7307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TALLAPOOSA DRUG COMPANY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-12",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "RICKY",
        "authorized_official_title_or_position": "OWNER & PIC",
        "authorized_official_telephone_number": "770-574-2339",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE004796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00087997A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2014456",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100100041",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TALLAPOOSA DRUG COMPANY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angela L Richards, DC
• Steven James Rinehart
• Dar Robinson, PA
• Robin Cynthia Rogers
• Kristi Sons, NP
• Tallapoosa RX LLC (Tallapoosa Drugs)
• Tallapoosa RX LLC (Tallapoosa Drugs)
• Tiny Clinic, PC
• TMC Tallapoosa Family Healthcare Center
• Maggie Estelle Tobin, DC

• Community/Retail Pharmacy in Tallapoosa, GA
• Providers in Tallapoosa, GA by specialty
• Community/Retail Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; 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.