NPIMap

Organization Active NPI

Wynns Pharmacy Services

  • Durable Medical Equipment & Medical Supplies
  • Griffin, GA
National Provider Identifier
1649572702
Registry record updated Aug 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
PHRE006081 Issued in GA
Legal business name
WYNNS PHARMACY SERVICES
Practice address
107 Graefe St
Griffin, GA 30224-4221
Phone
(770) 467-6500
Fax
(770) 467-6513
NPI assigned
Nov 23, 2010
Organization subpart
Yes
Parent organization
WYNNS PHARMACY INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 2, 2017

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

Authorized official

Name
Osgood Andrew Miller, P. PH.
Title
Owner/Pharmacist
Phone
(770) 467-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X PHRE006081 GA Primary

Addresses

Primary practice location

107 Graefe St
Griffin, GA 30224-4221

Mailing address

107 Graefe St
Griffin, GA 30224-4221
Phone (770) 467-6500

Other names 1

  • Wynns Pharnacy Inc Other name

National Provider Directory

National Provider Directory
Tax ID family
Wynn'S Pharmacy Inc3 organizations share this tax ID, including this one
Part of
Wynn'S Pharmacy Inc

Other organizations with this tax ID 2

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

Locations

107 Graefe St
Griffin, GA 30224
Phone (770) 467-6500

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1290470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501632000000",
    "number": "1649572702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 GRAEFE ST",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244221",
            "telephone_number": "770-467-6500",
            "fax_number": "770-467-6513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 GRAEFE ST",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244221",
            "telephone_number": "770-467-6500",
            "fax_number": "770-467-6513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYNNS PHARMACY SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WYNNS PHARMACY INC",
        "enumeration_date": "2010-11-23",
        "last_updated": "2017-08-02",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "OSGOOD",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "770-467-6500",
        "authorized_official_credential": "P. PH."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "PHRE006081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wynns Pharnacy Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Griffin, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2017; 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.