Active NPI
Towne Pharmacy of Rincon LLC
- Community/Retail Pharmacy
- Rincon, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 008972
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Kathryn Harrison MC Millan, RPH
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 008972 | GA | |
| Pharmacist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 147147747A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210618001288 | GA | Part B Supplier - Mass Immunization (Roster Biller Only) | 4587865589 | Practice locations: Rincon, GA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2183664 | Towne Pharmacy of Rincon, LLC | Certificate of waiver | May 7, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Long Term Care Pharmacy
- Rincon, GA
- NPI 1881442861
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Rincon, GA
- NPI 1770683401
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.