Mabd Enterprises, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MABD ENTERPRISES, LLC

Practice address

115 W Spring St
Mount Vernon, GA 30445-2957

Phone

(912) 616-9922

Fax

(912) 616-9923

NPI assigned

Oct 11, 2018

Organization subpart

Yes

Parent organization

MABD ENTERPRISES, LLCAs reported in NPPES

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

Authorized official

Name

Matthew Adcock, RPH

Title

Owner/Pharmacist

Phone

(478) 279-2255

Specialties & licenses 1

Addresses

Other names 1

• Mount Vernon Drug Company Doing business as

Tax ID family

Mabd Enterprises LLC2 organizations share this tax ID, including this one

Part of

Mabd Enterprises LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Wheeler County Drug Company

  • Community/Retail Pharmacy
  • Glenwood, GA
  • NPI 1992220420
  NPD tax ID

Locations

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

{
    "created_epoch": "1539216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539216000000",
    "number": "1639644156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 W SPRING ST",
            "city": "MOUNT VERNON",
            "state": "GA",
            "postal_code": "304452957",
            "telephone_number": "912-616-9922",
            "fax_number": "912-616-9923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W SPRING ST",
            "city": "MOUNT VERNON",
            "state": "GA",
            "postal_code": "304452957",
            "telephone_number": "912-616-9922",
            "fax_number": "912-616-9923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MABD ENTERPRISES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MABD ENTERPRISES, LLC",
        "enumeration_date": "2018-10-11",
        "last_updated": "2018-10-11",
        "status": "A",
        "authorized_official_last_name": "ADCOCK",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "478-279-2255",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mount Vernon Drug Company",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Mount Vernon, GA
• Providers in Mount Vernon, 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 Oct 11, 2018; 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.