McRaes Pharmacy of Douglas Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE003365 Issued in GA

Legal business name

MCRAES PHARMACY OF DOUGLAS INC

Practice address

1002 Ward St W
Douglas, GA 31533-2251

Phone

(912) 384-5255

NPI assigned

Jun 17, 2006

Organization subpart

No

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

Authorized official

Name

Dr. James Andrew Holt, PHARM DNPI 1295337392

Title

Phar-Owner

Phone

(912) 384-5255

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA2 enrollments

Enrollment records 2

Tax ID family

McRaes Pharmacy2 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.

• McRaes Pharmacy of Douglas Inc

  • Long Term Care Pharmacy
  • Douglas, GA
  • NPI 1508636622
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Andrew Holt, PHARM D, RPH

  • Pharmacist
  • Douglas, GA
  • NPI 1295337392
  NPD Authorized official

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605139200000",
    "number": "1730124587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 WARD ST W",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315332251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 WARD ST W",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315332251",
            "telephone_number": "912-384-5255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCRAES PHARMACY OF DOUGLAS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A",
        "authorized_official_last_name": "HOLT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "PHAR-OWNER",
        "authorized_official_telephone_number": "912-384-5255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH028222",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE003365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000031622A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Miller McKinney, PSY.D., LPC
• Charles Dylan McLean
• Kristen McMillan
• Alexis Marie McNeill, PA-C
• McRaes Pharmacy of Douglas Inc
• William Sumner McWhorter, PHARMD
• Medical South PC
• Jon Scott Meeks, RPH
• Whitney Meeks
• Ingrid Mercado-Arias

• Community/Retail Pharmacy in Douglas, GA
• Providers in Douglas, 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 Nov 12, 2020; 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.