Georgiana Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

113446 Issued in AL

Legal business name

GEORGIANA PHARMACY, LLC

Practice address

236 Jones Street
Georgiana, AL 36033

Phone

(334) 376-9800

Fax

(334) 376-9807

NPI assigned

Oct 4, 2010

Last updated

Oct 4, 2010By 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

Brett Johnson SpeegleNPI 1679163745

Title

Owner

Phone

(334) 376-9800

Specialties & licenses 1

Addresses

Locations

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.

• Brett Speegle, RPH

  • Pharmacist
  • Winfield, AL
  • NPI 1679163745
  Authorized official Same address or phone

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

{
    "created_epoch": "1286150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286150400000",
    "number": "1699084962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 MEDICAL DR",
            "city": "WINFIELD",
            "state": "AL",
            "postal_code": "355945002",
            "telephone_number": "205-487-3079",
            "fax_number": "205-487-3138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 JONES STREET",
            "city": "GEORGIANA",
            "state": "AL",
            "postal_code": "36033",
            "telephone_number": "334-376-9800",
            "fax_number": "334-376-9807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIANA PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-04",
        "last_updated": "2010-10-04",
        "status": "A",
        "authorized_official_last_name": "SPEEGLE",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "JOHNSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-376-9800"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "113446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evergreen Medical Center, LLC
• Latikki Feagin
• Florala Pharmacy Inc (Pharmacare Georgiana)
• Georgiana Health and Rehabilitation, LLC
• Georgiana Medical Supply Inc
• Brandon Hester, PHARMD
• Ashley Nicole Huggins, CRNP
• Ivy Creek of Butler LLC (Georgiana Medical Center)
• Ivy Creek of Butler, LLC
• Ivy Creek-Butler Home Health LLC (Butler Home Health)

• Community/Retail Pharmacy in Georgiana, AL
• Providers in Georgiana, AL by specialty
• Community/Retail Pharmacy in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.