Organization Active NPI

Meta Pharmacy Savannah LLC

  • Community/Retail Pharmacy
  • Savannah, GA
National Provider Identifier
1629654389
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
META PHARMACY SAVANNAH LLC
Practice address
1000 Eisenhower Dr Ste a
Savannah, GA 31406-2601
Phone
(912) 447-1937
Fax
(912) 200-5937
NPI assigned
Mar 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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

Authorized official

Name
Melissa Dossey Groover, PHARM DNPI 1346599438
Title
Owner/Pharmacist in Charge
Phone
(912) 414-7539

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
Clinical Medical Laboratory 291U00000X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1000 Eisenhower Dr Ste a
Savannah, GA 31406-2601

Mailing address

1000 Eisenhower Dr Ste a
Savannah, GA 31406-2601
Phone (912) 417-6003

Other names 1

  • Savannah Rx Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20211013000827 GA Part B Supplier - Pharmacy 9739587353 Practice locations: Savannah, GA
O20211223000005 GA Part B Supplier - Independent Clinical Laboratory 9739587353 Practice locations: Savannah, GA

National Provider Directory

National Provider Directory

Locations

1000 Eisenhower Dr
Ste A
Savannah, GA 31406
Phone (912) 417-6003

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": "1616457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661126400000",
    "number": "1629654389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 EISENHOWER DR STE A",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314062601",
            "telephone_number": "912-417-6003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 EISENHOWER DR STE A",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314062601",
            "telephone_number": "912-447-1937",
            "fax_number": "912-200-5937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "META PHARMACY SAVANNAH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-23",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A",
        "authorized_official_last_name": "GROOVER",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "DOSSEY",
        "authorized_official_title_or_position": "OWNER/PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "912-414-7539",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Savannah Rx",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Savannah Rx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.