Organization Active NPI

Towne Pharmacy of Rincon LLC

  • Community/Retail Pharmacy
  • Rincon, GA
National Provider Identifier
1740380484
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
008972 Issued in GA
Legal business name
TOWNE PHARMACY OF RINCON LLC
Practice address
6014 Highway 21 South
Ste O and P
Rincon, GA 31326
Phone
(912) 826-0250
Fax
(912) 826-0717
NPI assigned
Sep 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2021

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

Authorized official

Name
Ms. Kathryn Harrison MC Millan, RPHNPI 1770683401
Title
Owner, Pharmacist
Phone
(912) 826-0250

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 183500000X 008972 GA
PharmacistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 183500000X 018937 GA
Community/Retail Pharmacy 3336C0003X 008972 GA Primary

Addresses

Primary practice location

6014 Highway 21 South
Ste O and P
Rincon, GA 31326

Mailing address

6014 Highway 21 S Ste P
Rincon, GA 31326-5573
Phone (912) 826-0250

Other identifiers 1

IdentifierTypeStateIssuer
147147747AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210618001288 GA Part B Supplier - Mass Immunization (Roster Biller Only) 4587865589 Practice locations: Rincon, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2183664Towne Pharmacy of Rincon, LLC6014 Highway 21 South, Suite P, Rincon, GA 31326Certificate of waiverMay 7, 2028

National Provider Directory

National Provider Directory

Locations

808 Towne Park Dr
Ste 300
Rincon, GA 31326
Phone (912) 826-0250

6014 Highway 21 S
Ste O
Rincon, GA 31326
Phone (912) 826-0250

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1158969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612915200000",
    "number": "1740380484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6014 HIGHWAY 21 S STE P",
            "city": "RINCON",
            "state": "GA",
            "postal_code": "313265573",
            "telephone_number": "912-826-0250",
            "fax_number": "912-826-0717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6014 HIGHWAY 21 SOUTH",
            "address_2": "STE O AND P",
            "city": "RINCON",
            "state": "GA",
            "postal_code": "31326",
            "telephone_number": "912-826-0250",
            "fax_number": "912-826-0717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWNE PHARMACY OF RINCON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-23",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A",
        "authorized_official_last_name": "MC MILLAN",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "HARRISON",
        "authorized_official_title_or_position": "OWNER, PHARMACIST",
        "authorized_official_telephone_number": "912-826-0250",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "008972",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "018937",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "008972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "147147747A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rincon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.