Express Drugs of Savannah LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE010267 Issued in GA

Legal business name

EXPRESS DRUGS OF SAVANNAH LLC

Practice address

824 E de Renne Ave
Savannah, GA 31405-6717

Phone

(912) 777-3230

Fax

(912) 436-6616

NPI assigned

Feb 25, 2016

Organization subpart

No

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

Authorized official

Name

Minh Thai, PHARMD

Title

Manager, Ao

Phone

(917) 916-3153

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Express Drugs HealthMart Pharmacy Doing business as

Locations

Practitioners 2

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

• Jeffrey Drew Callaway, PHARM.D.

  • Pharmacist
  • Savannah, GA
  • NPI 1750650461
  NPD (past)
• Megan Claire Rice, PHARMD

  • Pharmacist
  • Savannah, GA
  • NPI 1639835614
  NPD (past)

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

{
    "created_epoch": "1456358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459900800000",
    "number": "1629438296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 E DERENNE AVE",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314056717",
            "telephone_number": "912-777-3230",
            "fax_number": "912-436-6616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 E DE RENNE AVE",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314056717",
            "telephone_number": "912-777-3230",
            "fax_number": "912-436-6616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESS DRUGS OF SAVANNAH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-25",
        "last_updated": "2016-04-06",
        "status": "A",
        "authorized_official_last_name": "THAI",
        "authorized_official_first_name": "MINH",
        "authorized_official_title_or_position": "MANAGER, AO",
        "authorized_official_telephone_number": "917-916-3153",
        "authorized_official_credential": "PHARMD"
    },
    "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": "PHRE010267",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2158281",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003173707A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Express Drugs HealthMart Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Savannah, GA
• Providers in Savannah, 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 Apr 6, 2016; 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.