East Ga Specialty Pharmacy

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

EAST GA SPECIALTY PHARMACY

Practice address

400 E Grady St
Statesboro, GA 30458-5157

Phone

(912) 655-9080

NPI assigned

Apr 16, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Barbara Aimar Goodwin, RPH MS

Title

Owner

Phone

(912) 655-9080

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429142400000",
    "number": "1609263631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E GRADY ST",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304585157",
            "telephone_number": "912-655-9080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E GRADY ST",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304585157",
            "telephone_number": "912-655-9080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST GA SPECIALTY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-16",
        "last_updated": "2015-04-16",
        "status": "A",
        "authorized_official_last_name": "GOODWIN",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "AIMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-655-9080",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RPH  MS"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacy in Statesboro, GA
• Providers in Statesboro, GA by specialty
• Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; 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.