Medical Center Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE008634 Issued in GA

Legal business name

MEDICAL CENTER PHARMACY INC

Practice address

132 Victory Dr
Swainsboro, GA 30401-3235

Phone

(478) 237-3838

Fax

(478) 237-3878

NPI assigned

Jan 11, 2007

Organization subpart

No

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

Authorized official

Name

Jim SandersNPI 1528695715

Title

Pharmacy Manager

Phone

(478) 237-3838

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

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.

• Jim Sanders

  • Pharmacist
  • Swainsboro, GA
  • NPI 1528695715
  NPD (past) Authorized official
• Kimberley Sanders, PHARM.D.

  • Pharmacist
  • Swainsboro, GA
  • NPI 1659908812
  NPD (past)

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265328000000",
    "number": "1669522645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 VICTORY DR",
            "city": "SWAINSBORO",
            "state": "GA",
            "postal_code": "304013235",
            "telephone_number": "478-237-3838",
            "fax_number": "478-237-3878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 VICTORY DR",
            "city": "SWAINSBORO",
            "state": "GA",
            "postal_code": "304013235",
            "telephone_number": "478-237-3838",
            "fax_number": "478-237-3878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CENTER PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2010-02-05",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "478-237-3838"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE008634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00954478A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1150046",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maximum Medical SE, Inc.
• Julianne Fricks McCaskill, PA-C
• Jaycee McCoy
• Nikki Leigh McNeal, LPN
• Jennifer McTier, LPN
• Kenneth Mensah
• Sara Elizabeth Merritt, RPH
• Lisa M Mikell, LMT
• Julie Anna Mixon, FNP-C
• Lindsey K Moore

• Community/Retail Pharmacy in Swainsboro, GA
• Providers in Swainsboro, GA by specialty
• Community/Retail Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2010; 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.