Hawkinsville Drug Company LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

HAWKINSVILLE DRUG COMPANY LLC

Doing business as

Hawkinsville Drug Company

Practice address

153 Commerce St
Hawkinsville, GA 31036-8420

Phone

(478) 783-0555

Fax

(478) 783-0550

NPI assigned

Feb 7, 2020

Last updated

Feb 7, 2020By 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

Dr. Robert Timothy Hall Jr., PHARMDNPI 1023640067

Title

Owner

Phone

(478) 783-0555

Specialties & licenses 1

Addresses

Other names 1

• Hawkinsville Drug Company Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

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.

• Robert Timothy Hall Jr.

  • Pharmacist
  • Hawkinsville, GA
  • NPI 1023640067
  NPD Authorized official

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

{
    "created_epoch": "1581033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581033600000",
    "number": "1730711771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 COMMERCE ST",
            "city": "HAWKINSVILLE",
            "state": "GA",
            "postal_code": "310368420",
            "telephone_number": "478-783-0555",
            "fax_number": "478-783-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 COMMERCE ST",
            "city": "HAWKINSVILLE",
            "state": "GA",
            "postal_code": "310368420",
            "telephone_number": "478-783-0555",
            "fax_number": "478-783-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWKINSVILLE DRUG COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-07",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-783-0555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hawkinsville Drug Company",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brittani McLeod Grinstead, PHARMD
• Robert Timothy Hall Jr.
• Regina B Harrell, RPH
• Kayley Harrelson, LPTA
• Hawkinsville Dental Associates, LLC
• Hawkinsville Emergency Group LLC
• Hawkinsville Physician Services LLC
• Heart of Georgia Physicians, LLC
• Heartland EMS Inc (Heartland EMS Inc Pulaski Transfer)
• Heartland EMS Inc (Heartland EMS Inc Pulaski)

• Community/Retail Pharmacy in Hawkinsville, GA
• Providers in Hawkinsville, 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 Feb 7, 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.