Organization Active NPI

Milledgeville Medical Center Pharmacy Inc

Doing business as Medical Center Pharmacy

  • Community/Retail Pharmacy
  • Milledgeville, GA
National Provider Identifier
1710992326
Registry record updated Oct 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHRE003608 Issued in GA
Legal business name
MILLEDGEVILLE MEDICAL CENTER PHARMACY INC
Doing business as
Medical Center Pharmacy
Practice address
750 N Cobb St
Milledgeville, GA 31061-2390
Phone
(478) 452-3591
Fax
(478) 452-3596
NPI assigned
Jul 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2014

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

Authorized official

Name
HJ Vinson
Title
Sec
Phone
(478) 452-3591

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHRE003608 GA Primary

Addresses

Primary practice location

750 N Cobb St
Milledgeville, GA 31061-2390

Mailing address

750 N Cobb St
Milledgeville, GA 31061-2390
Phone (478) 452-3591

Other identifiers 2

IdentifierTypeStateIssuer
2012676OtherPK
000032095AMedicaidGA

Other names 1

  • Medical Center 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": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414022400000",
    "number": "1710992326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 N COBB ST",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310612390",
            "telephone_number": "478-452-3591",
            "fax_number": "478-452-3596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 N COBB ST",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310612390",
            "telephone_number": "478-452-3591",
            "fax_number": "478-452-3596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLEDGEVILLE MEDICAL CENTER PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2014-10-23",
        "status": "A",
        "authorized_official_last_name": "VINSON",
        "authorized_official_first_name": "HJ",
        "authorized_official_title_or_position": "SEC",
        "authorized_official_telephone_number": "478-452-3591"
    },
    "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": "PHRE003608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2012676",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000032095A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milledgeville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2014; 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.