McIntyrepharmacy LLC Dba Glenwood Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE008052 Issued in GA

Legal business name

MCINTYREPHARMACY LLC DBA GLENWOOD PHARMACY

Practice address

114 E 2ND Ave
Glenwood, GA 30428

Phone

(912) 523-5094

Fax

(912) 523-5137

NPI assigned

Feb 21, 2007

Last updated

Jun 17, 2008By 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

Ricky McIntyre

Title

Owner

Phone

(912) 523-5094

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1720113939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 780",
            "city": "GLENWOOD",
            "state": "GA",
            "postal_code": "304280780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 E 2ND AVE",
            "city": "GLENWOOD",
            "state": "GA",
            "postal_code": "30428",
            "telephone_number": "912-523-5094",
            "fax_number": "912-523-5137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCINTYREPHARMACY LLC DBA GLENWOOD PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "MCINTYRE",
        "authorized_official_first_name": "RICKY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-523-5094"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE008052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000815712A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lower Oconee Community Hospital Inc
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• Lower Oconee Community Hospital Pharmacy
• Lower Oconee Community Hospital, Inc (Glenwood Family Clinic)
• Lower Oconee Community Hospital, Inc. (Lower Oconee Community Rural Health Clinic)
• Orthopedic Center PC (Southeastern Orthopedic Center)
• Robert J. Dayer, M.D., PC
• Jared Matthew Aaron Taylor, RPH
• Cindy Vann, COTA/L
• Wheeler County Drug Company

• Community/Retail Pharmacy in Glenwood, GA
• Providers in Glenwood, 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 Jun 17, 2008; 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.