Organization Active NPI

The Corporation of Mercer University

Doing business as River Edge Crisis Services Pharmacy

  • Clinic Pharmacy
  • Macon, GA
National Provider Identifier
1659162964
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
Legal business name
THE CORPORATION OF MERCER UNIVERSITY
Doing business as
River Edge Crisis Services Pharmacy
Practice address
750 Hazel Street
Macon, GA 31201
Phone
(478) 334-5050
NPI assigned
May 15, 2025
Last updated
May 15, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
CORPORATION OF MERCER UNIVERSITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Authorized official

Name
Dr. James Netherton
Title
Exec. Vice President for Administra
Phone
(478) 301-2710

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X NU Primary

Addresses

Primary practice location

750 Hazel Street
Macon, GA 31201

Mailing address

1550 College Street
Musm Deans Suite
Macon, GA 31207
Phone (478) 301-4070

Other names 1

  • River Edge Crisis Services Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
The Corp of Mercer Univ8 organizations share this tax ID, including this one
Part of
The Corp of Mercer Univ

Other organizations with this tax ID 7

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

NPI Registry JSON

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

{
    "created_epoch": "1747267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747267200000",
    "number": "1659162964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 COLLEGE STREET",
            "address_2": "MUSM DEANS SUITE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "31207",
            "telephone_number": "478-301-4070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 HAZEL STREET",
            "city": "MACON",
            "state": "GA",
            "postal_code": "31201",
            "telephone_number": "478-334-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CORPORATION OF MERCER UNIVERSITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CORPORATION OF MERCER UNIVERSITY",
        "enumeration_date": "2025-05-15",
        "last_updated": "2025-05-15",
        "status": "A",
        "authorized_official_last_name": "NETHERTON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "EXEC. VICE PRESIDENT FOR ADMINISTRA",
        "authorized_official_telephone_number": "478-301-2710",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "River Edge Crisis Services Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; 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.