Homer Drugs, LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

PHRE010390 Issued in GA

Legal business name

HOMER DRUGS, LLC

Practice address

1228 Historic Homer Hwy
Homer, GA 30547

Phone

(706) 677-3223

Fax

(706) 677-3602

NPI assigned

Mar 10, 2006

Last updated

Jun 17, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christopher Ryan Gurley, PHARM D

Title

Owner

Phone

(706) 677-3223

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA3 enrollments

Enrollment records 3

Tax ID family

Homer Drugs LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Homer Drugs LLC

  dba Homer Drugs LLC LTC

  • Long Term Care Pharmacy
  • Homer, GA
  • NPI 1053009241
  NPD tax ID

Locations

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655424000000",
    "number": "1669440962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1228 HISTORIC HOMER HWY",
            "city": "HOMER",
            "state": "GA",
            "postal_code": "30547",
            "telephone_number": "706-677-3223",
            "fax_number": "706-677-3602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1228 HISTORIC HOMER HWY",
            "city": "HOMER",
            "state": "GA",
            "postal_code": "30547",
            "telephone_number": "706-677-3223",
            "fax_number": "706-677-3602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMER DRUGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-10",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A",
        "authorized_official_last_name": "GURLEY",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-677-3223",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "GA",
            "license": "PHRE010390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000137046A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Fountain
• Katelyn Taylor Gillespie, NP
• Health Notice LLC (Health Notice)
• Janice Rebecca Hill, RN
• Homer Drugs LLC (Homer Drugs LLC LTC)
• Genna Grace Langford, OTR
• Magnolia Motion Physical Therapy LLC
• Nancy F McCoy, NP
• Barbara Jean Megahee, D.M.D.
• K Anthony Merati, D.C.

• Pharmacy in Homer, GA
• Providers in Homer, GA by specialty
• Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.

Verify at the official NPI Registry.