Eastman Drugs, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE003221 Issued in GA

Legal business name

EASTMAN DRUGS, INC.

Practice address

1221 Plaza Ave Ste B
Eastman, GA 31023-9011

Phone

(478) 374-6670

Fax

(478) 374-6674

NPI assigned

May 19, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Kenneth Franklin Rogers

Title

Owner

Phone

(478) 374-6670

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA2 enrollments

Enrollment records 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jenna Evans, PHARMD

  • Pharmacist
  • Eastman, GA
  • NPI 1982293643
  NPD (past)
• Brianna Swindell, PHARMD

  • Pharmacist
  • Eastman, GA
  • NPI 1962099697
  NPD (past)

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630454400000",
    "number": "1700830387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 PLAZA AVE",
            "city": "EASTMAN",
            "state": "GA",
            "postal_code": "310239007",
            "telephone_number": "478-374-6670",
            "fax_number": "478-374-6674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 PLAZA AVE STE B",
            "city": "EASTMAN",
            "state": "GA",
            "postal_code": "310239011",
            "telephone_number": "478-374-6670",
            "fax_number": "478-374-6674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTMAN DRUGS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "FRANKLIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-374-6670",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE003221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00026386A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Virginia Ann Dupraw, FNP
• East Georgia Medical
• Eastman Chiropractic Center
• Eastman Dental Associates
• Eastman Drugs, Inc.
• Eastman Family Dental Center LLP
• Eastman Healthcare & Rehab, LLC
• Eastman Medical Clinic LLC
• Eastman Medical Services,LLC
• Eastman Pediatric Clinic

• Community/Retail Pharmacy in Eastman, GA
• Providers in Eastman, 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 Sep 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.