Mortar & Pestle, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE009938 Issued in GA

Legal business name

MORTAR & PESTLE, LLC

Doing business as

The Medicine Cabinet

Practice address

205 Vernon Street
Lagrange, GA 30240

Phone

(706) 298-4928

Fax

(706) 298-4929

NPI assigned

Jul 3, 2013

Organization subpart

No

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

Authorized official

Name

Jon Meeks

Title

Owner/Pharmacist

Phone

(912) 383-8510

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• The Medicine Cabinet Doing business as

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

CLIA laboratory certificates

Locations

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.

• Thomas H Whitworth, RPH

  • Pharmacist
  • Lagrange, GA
  • NPI 1023519634
  NPD (past)

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

{
    "created_epoch": "1372809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594771200000",
    "number": "1629418793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 VERNON STREET",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "30240",
            "telephone_number": "706-298-4928",
            "fax_number": "706-298-4929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 VERNON STREET",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "30240",
            "telephone_number": "706-298-4928",
            "fax_number": "706-298-4929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORTAR & PESTLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-03",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A",
        "authorized_official_last_name": "MEEKS",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "912-383-8510"
    },
    "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": "PHRE009938",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003136178A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2141011",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Medicine Cabinet",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Medicine Cabinet",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Timothy Eugene Moore, PT
• Kelly Dianne Morgan, NP-C
• Tommy John Morgan, M.D.
• Caitlin V Morman, DPT, PT
• Makayla Morman
• Mortar and Pestle, LLC (The Medicine Cabinet)
• Mortar and Pestle, LLC (The Medicine Cabinet)
• Mortar and Pestle, LLC (The Medicine Cabinet)
• Tara Jo Moses, NP-C
• Tory D Moses

• Community/Retail Pharmacy in Lagrange, GA
• Providers in Lagrange, 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 Jul 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.