Organization Active NPI

Hark Pharmaceutical, LLC

Doing business as Malcolms Discount Pharmacy

  • Pharmacy
  • Douglas, GA
National Provider Identifier
1629412812
Registry record updated Apr 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PHRE009920 Issued in GA
Legal business name
HARK PHARMACEUTICAL, LLC
Doing business as
Malcolms Discount Pharmacy
Practice address
250 Peterson Ave S
Douglas, GA 31533-5237
Phone
(912) 384-1898
Fax
(912) 383-7109
NPI assigned
Apr 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2013

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

Authorized official

Name
Mrs. Susan C. Preston, RPHNPI 1033556816
Title
Pharmacist in Charge
Phone
(912) 384-1898

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHRE009920 GA Primary

Addresses

Primary practice location

250 Peterson Ave S
Douglas, GA 31533-5237

Mailing address

PO Box 2557
Douglas, GA 31534-2557
Phone (912) 384-1898

Other names 1

  • Malcolms Discount Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

250 Peterson Ave S
Douglas, GA 31533
Phone (912) 384-1898

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": "1366243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366243200000",
    "number": "1629412812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2557",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315342557",
            "telephone_number": "912-384-1898",
            "fax_number": "912-383-7109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 PETERSON AVE S",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315335237",
            "telephone_number": "912-384-1898",
            "fax_number": "912-383-7109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARK PHARMACEUTICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-18",
        "last_updated": "2013-04-18",
        "status": "A",
        "authorized_official_last_name": "PRESTON",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "912-384-1898",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "GA",
            "license": "PHRE009920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Malcolms Discount Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Douglas, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2013; 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.