Organization Active NPI

Gill Drug Co. Inc.

Doing business as Gill Drug Company

  • Community/Retail Pharmacy
  • Ellaville, GA
National Provider Identifier
1689734253
Registry record updated Jul 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHRE004458 Issued in GA
Legal business name
GILL DRUG CO. INC.
Doing business as
Gill Drug Company
Practice address
54 East Oglethorpe Street
Ellaville, GA 31806
Phone
(229) 937-2002
Fax
(229) 937-5060
NPI assigned
Dec 12, 2006
Last updated
Jul 17, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2013

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

Authorized official

Name
Mrs. Paula Gill Williams, RPHNPI 1356400238
Title
Ceo
Phone
(229) 937-2002

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHRE004458 GA Primary

Addresses

Primary practice location

54 East Oglethorpe Street
Ellaville, GA 31806

Mailing address

PO Box 46
54 East Oglethorpe Street
Ellaville, GA 31806-0046
Phone (229) 937-2002

Other identifiers 1

IdentifierTypeStateIssuer
00028432AMedicaidGA

Other names 1

  • Gill Drug Company Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930085619 GA DME Supplier - Pharmacy 7810016052 Practice locations: Ellaville, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Gill Drug Co54 E Oglethorpe St, Ellaville, GA 31806-3527(229) 937-2002 Nebulizer Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Nebulizer Equipment and/or Supplies Does not accept assignmentParticipating since Jan 1, 2001

National Provider Directory

National Provider Directory

Locations

54 E Oglethorpe St
Ellaville, GA 31806
Phone (229) 937-2002

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": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374019200000",
    "number": "1689734253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 46",
            "address_2": "54 EAST OGLETHORPE STREET",
            "city": "ELLAVILLE",
            "state": "GA",
            "postal_code": "318060046",
            "telephone_number": "229-937-2002",
            "fax_number": "229-937-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 EAST OGLETHORPE STREET",
            "city": "ELLAVILLE",
            "state": "GA",
            "postal_code": "31806",
            "telephone_number": "229-937-2002",
            "fax_number": "229-937-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILL DRUG CO. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2013-07-17",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "GILL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "229-937-2002",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE004458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00028432A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gill Drug Company",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ellaville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.