Active NPI
Folkston Pharmacy Inc
- Community/Retail Pharmacy
- Folkston, GA
National Provider Identifier
1700944469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHRE003308
- Legal business name
- FOLKSTON PHARMACY INC
- Practice address
- 100 W Main St
Folkston, GA 31537-3018 - Phone
- (912) 496-2522
- Fax
- (912) 496-3329
- NPI assigned
- Dec 5, 2006
- 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
- Marion Wainright
- Title
- Pharmacist and President
- Phone
- (912) 496-2522
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PHRE003308 | GA | Primary |
Addresses
Primary practice location
100 W Main St
Folkston, GA 31537-3018
Mailing address
100 W Main St
Folkston, GA 31537-3018
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0002279374 | Medicaid | GA | |
| 00027937A | Medicaid | GA | |
| 1109950 | Other | OTHER ID NUMBER |
Other names 1
- FOLKSTON PHARMACY
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1188518400000",
"number": "1700944469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 W MAIN ST",
"city": "FOLKSTON",
"state": "GA",
"postal_code": "315373018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 W MAIN ST",
"city": "FOLKSTON",
"state": "GA",
"postal_code": "315373018",
"telephone_number": "912-496-2522",
"fax_number": "912-496-3329"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOLKSTON PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-05",
"last_updated": "2007-08-31",
"status": "A",
"authorized_official_last_name": "WAINRIGHT",
"authorized_official_first_name": "MARION",
"authorized_official_title_or_position": "PHARMACIST AND PRESIDENT",
"authorized_official_telephone_number": "912-496-2522"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "GA",
"license": "PHRE003308",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0002279374",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00027937A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER",
"identifier": "1109950",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "FOLKSTON PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Folkston, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.