Sandersville Drug Co., LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SANDERSVILLE DRUG CO., LLC

Doing business as

Sandersville Drug Co.

Practice address

528 Sparta Rd
Sandersville, GA 31082-1859

Phone

(478) 232-0998

NPI assigned

Apr 20, 2017

Last updated

Apr 20, 2017By 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

Mrs. Lisa G. McDonald, RPHNPI 1659436053

Title

Owner/Pharmacist

Phone

(478) 232-0998

Specialties & licenses 1

Addresses

Other names 1

• Sandersville Drug Co. Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Tax ID family

Sandersville Drug Co2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Sandersville Drug Co., LLC

  • Long Term Care Pharmacy
  • Sandersville, GA
  • NPI 1720770282
  NPD tax ID

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.

• Lisa G McDonald, RPH, CDM

  • Pharmacist
  • Sandersville, GA
  • NPI 1659436053
  NPD Authorized official

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

{
    "created_epoch": "1492646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492646400000",
    "number": "1710411327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6000",
            "city": "SANDERSVILLE",
            "state": "GA",
            "postal_code": "310826000",
            "telephone_number": "478-232-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 SPARTA RD",
            "city": "SANDERSVILLE",
            "state": "GA",
            "postal_code": "310821859",
            "telephone_number": "478-232-0998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDERSVILLE DRUG CO., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-20",
        "last_updated": "2017-04-20",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "478-232-0998",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sandersville Drug Co.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tracy Roach
• Nicole Thomas Roberson, NP-C
• Brandon A Roberts, MD
• Cynthia J. Roche, R.P.T.
• Sandersville Dialysis Clinic LLC
• Sandersville Drug Co., LLC
• Sandersville Hypertension & Nephrology PC
• Sandersville Primary & Urgent Care, LLC
• Sandersville Speech and Swallowing LLC
• Sandersville Surgical (Rawl Southern Surgical LLC)

• Community/Retail Pharmacy in Sandersville, GA
• Providers in Sandersville, 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 Apr 20, 2017; 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.