Organization Active NPI

Medidose Pharmacy Dba Medisave Pharmacy

  • Community/Retail Pharmacy
  • Albany, GA
National Provider Identifier
1669517983
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHRE007870 Issued in GA
Legal business name
MEDIDOSE PHARMACY DBA MEDISAVE PHARMACY
Practice address
800 S Slappey Blvd
Albany, GA 31701-2616
Phone
(229) 435-1306
Fax
(229) 883-6724
NPI assigned
Feb 21, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Angela Davis, RPHNPI 1598942674
Title
Pharmacist Manager
Phone
(229) 435-1306

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHRE007870 GA Primary

Addresses

Primary practice location

800 S Slappey Blvd
Albany, GA 31701-2616

Mailing address

800 S Slappey Blvd
Albany, GA 31701-2616
Phone (229) 435-1306

Other identifiers 1

IdentifierTypeStateIssuer
00685814AMedicaidGA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669517983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S SLAPPEY BLVD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317012616",
            "telephone_number": "229-435-1306",
            "fax_number": "229-883-6724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S SLAPPEY BLVD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317012616",
            "telephone_number": "229-435-1306",
            "fax_number": "229-883-6724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIDOSE PHARMACY DBA MEDISAVE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "PHARMACIST MANAGER",
        "authorized_official_telephone_number": "229-435-1306",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE007870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00685814A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.