Active NPI
Senior Life Pharmacy Ga LLC
- Community/Retail Pharmacy
- Thomasville, GA
National Provider Identifier
1659971539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- SENIOR LIFE PHARMACY GA LLC
- Doing business as
- Senior Life Pharmacy
Senior Life Pharmacy Georgia, LLC - Practice address
- 106 Oak St
Thomasville, GA 31792-5435 - Phone
- (229) 236-5012
- Fax
- (229) 236-5014
- NPI assigned
- Oct 29, 2020
- 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
- Kasey Knight
- Title
- Owner
- Phone
- (229) 263-4061
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
106 Oak St
Thomasville, GA 31792-5435
Mailing address
106 Oak St
Thomasville, GA 31792-5435
Phone (844) 933-5433
Other names 2
- Senior Life Pharmacy
- Senior Life Pharmacy Georgia, LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220315001744 | GA | Part B Supplier - Pharmacy | 1456746213 | Practice locations: Thomasville, GA |
National Provider Directory
National Provider Directory- Tax ID family
- Bob Jeffs Hometown Pharmacy of Thomasville LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mail Order Pharmacy
- Thomasville, GA
- NPI 1386521946
-
- Long Term Care Pharmacy
- Thomasville, GA
- NPI 1912892506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603929600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788220800000",
"number": "1659971539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 OAK ST",
"city": "THOMASVILLE",
"state": "GA",
"postal_code": "317925435",
"telephone_number": "844-933-5433",
"fax_number": "229-212-7509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 OAK ST",
"city": "THOMASVILLE",
"state": "GA",
"postal_code": "317925435",
"telephone_number": "229-236-5012",
"fax_number": "229-236-5014"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SENIOR LIFE PHARMACY GA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-29",
"last_updated": "2026-09-01",
"certification_date": "2026-09-01",
"status": "A",
"authorized_official_last_name": "KNIGHT",
"authorized_official_first_name": "KASEY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "229-263-4061"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Senior Life Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Senior Life Pharmacy Georgia, LLC",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Thomasville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; 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.