Fort Valley Drug Company LLC.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE010641 Issued in GA

Legal business name

FORT VALLEY DRUG COMPANY LLC.

Doing business as

Five Points Pharmacy

Practice address

115 Commercial HTS
Fort Valley, GA 31030-3361

Phone

(478) 822-0555

Fax

(478) 822-0558

NPI assigned

Jul 19, 2018

Last updated

Jun 11, 2026By 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

Dr. Robert Timothy Hall Jr., PHARMD

Title

Owner/Pharmacist

Phone

(478) 822-0555

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Five Points Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in GA2 enrollments

Enrollment records 2

Tax ID family

Five Points Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Fort Valley Drug Company LLC. LTC

  dba Five Points Pharmacy LTC

  • Long Term Care Pharmacy
  • Fort Valley, GA
  • NPI 1720714827
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Fort Valley Drug Company LLC. LTC

  dba Five Points Pharmacy LTC

  • Long Term Care Pharmacy
  • Fort Valley, GA
  • NPI 1720714827
  NPPES parent name

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781136000000",
    "number": "1609353945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 N CAMELLIA BLVD",
            "city": "FORT VALLEY",
            "state": "GA",
            "postal_code": "310303368",
            "telephone_number": "478-822-0555",
            "fax_number": "478-822-0558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 COMMERCIAL HTS",
            "city": "FORT VALLEY",
            "state": "GA",
            "postal_code": "310303361",
            "telephone_number": "478-822-0555",
            "fax_number": "478-822-0558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT VALLEY DRUG COMPANY LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-19",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "478-822-0555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE010641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF PHARMACY LICENSE",
            "identifier": "PHRE010641",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Five Points Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• First Born Outreach Center Inc
• First Born Outreach Center Inc
• Five Points Pharmacy, LLC
• Fort Valley Crossing of Journey LLC
• Fort Valley Dialysis Center LLC
• Fort Valley Drug Company LLC. LTC (Five Points Pharmacy LTC)
• Fort Valley Family Chiropractic, LLC
• Fort Valley Operator LLC (Fort Valley Health and Rehab)
• Fort Valley State University (FVSUSports Medicine)
• Fruit of the Spirit Companion Services

• Community/Retail Pharmacy in Fort Valley, GA
• Providers in Fort Valley, 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 Jun 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.