Organization Active NPI

Forest Heights Phcy Inc

  • Clinic Pharmacy
  • Statesboro, GA
National Provider Identifier
1720187602
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
PHRE009060 Issued in GA
Legal business name
FOREST HEIGHTS PHCY INC
Practice address
HLTH SVCS BLDG
Watson Hall
Statesboro, GA 30460-0001
Phone
(912) 681-5780
NPI assigned
Sep 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Joel Sikes
Title
President
Phone
(912) 489-7979

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X PHRE009060 GA Primary

Addresses

Primary practice location

HLTH SVCS BLDG
Watson Hall
Statesboro, GA 30460-0001

Mailing address

PO Boix 2698
Statesboro, GA 30459-2698

Other identifiers 1

IdentifierTypeStateIssuer
1154878OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • UNIVERSITY PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Forest Heights Pharmacy Inc2 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.

Locations

Hlth Svcs
Statesboro, GA 30460
Phone (912) 681-5780

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720187602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOIX 2698",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304592698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HLTH SVCS BLDG",
            "address_2": "WATSON HALL",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304600001",
            "telephone_number": "912-681-5780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST HEIGHTS PHCY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIKES",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "912-489-7979"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "GA",
            "license": "PHRE009060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "1154878",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNIVERSITY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Statesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.