Active NPI
Meta Pharmacy Savannah LLC
- Community/Retail Pharmacy
- Savannah, GA
National Provider Identifier
1629654389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melissa Dossey Groover, PHARM D
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Pharmacist
- Savannah, GA
- NPI 1346599438
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.