Active NPI
Medidose Pharmacy Dba Medisave Pharmacy
- Community/Retail Pharmacy
- Albany, GA
National Provider Identifier
1669517983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHRE007870
- 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, 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
- Mrs. Angela Davis, RPH
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00685814A | Medicaid | GA |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Pharmacist
- Albany, GA
- NPI 1598942674
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.