Organization Active NPI

Folkston Pharmacy Inc

  • Community/Retail Pharmacy
  • Folkston, GA
National Provider Identifier
1700944469
Registry record updated Aug 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHRE003308 Issued in GA
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

Updated by the provider on Aug 31, 2007

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0002279374MedicaidGA
00027937AMedicaidGA
1109950OtherOTHER ID NUMBER

Other names 1

  • FOLKSTON PHARMACY Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.