Organization Active NPI

John L Moorhead

  • Community/Retail Pharmacy
  • Hartwell, GA
National Provider Identifier
1609811884
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHRE008079 Issued in GA
Legal business name
JOHN L MOORHEAD
Doing business as
ECONOMY DRUG STORE
Practice address
380 W Franklin St
Hartwell, GA 30643-1574
Phone
(706) 376-4483
Fax
(706) 376-8400
NPI assigned
Jun 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
John Moorhead, RPHNPI 1306916192
Title
Owner
Phone
(706) 376-4483

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHRE008079 GA Primary

Addresses

Primary practice location

380 W Franklin St
Hartwell, GA 30643-1574

Mailing address

PO Box 57
Hartwell, GA 30643-0057
Phone (706) 376-4483

Other identifiers 2

IdentifierTypeStateIssuer
00734291AMedicaidGA
2015863OtherPK

Other names 1

  • ECONOMY DRUG STORE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20081023000154 GA Part B Supplier - Mass Immunization (Roster Biller Only) 0446318232 Practice locations: Hartwell, GA
O20100930036703 GA DME Supplier - Pharmacy 0446318232 Practice locations: Hartwell, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Economy Drug Store380 W Franklin St, Hartwell, GA 30643-1574(706) 376-4483 Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Walkers|Orthoses: Off-The-Shelf|Nebulizer Equipment and/or Supplies Does not accept assignmentParticipating since Sep 15, 2008

National Provider Directory

National Provider Directory

Locations

380 W Franklin St
Hartwell, GA 30643
Phone (706) 376-4483

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1609811884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 57",
            "city": "HARTWELL",
            "state": "GA",
            "postal_code": "306430057",
            "telephone_number": "706-376-4483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 W FRANKLIN ST",
            "city": "HARTWELL",
            "state": "GA",
            "postal_code": "306431574",
            "telephone_number": "706-376-4483",
            "fax_number": "706-376-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN L MOORHEAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "MOORHEAD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-376-4483",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE008079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00734291A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2015863",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ECONOMY DRUG STORE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hartwell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.