Roy Powells Drug Store Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE003424 Issued in GA

Legal business name

ROY POWELLS DRUG STORE INC

Doing business as

Roy Powells Drug Store

Practice address

223 Ashley St W
Douglas, GA 31533-2349

Phone

(912) 384-1793

Fax

(912) 384-3627

NPI assigned

Sep 12, 2006

Last updated

Mar 28, 2013By 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

Jimmy Atkinson, RPH

Title

Owner

Phone

(912) 384-1792

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• ROY POWELLS DRUG STORE Doing business as

Locations

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364428800000",
    "number": "1740384791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 ASHLEY ST W",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315332349",
            "telephone_number": "912-384-1793",
            "fax_number": "912-384-3627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 ASHLEY ST W",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315332349",
            "telephone_number": "912-384-1793",
            "fax_number": "912-384-3627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROY POWELLS DRUG STORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2013-03-28",
        "status": "A",
        "authorized_official_last_name": "ATKINSON",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-384-1792",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE003424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1109304",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROY POWELLS DRUG STORE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Billy Edward Roberts, PA
• Carey Leigh Roberts, NP-C
• Allison Tucker Rodriguez, NP-C
• Jodi Rogers
• Luis David Rojas, D.C.
• Shirlene D Royal, RN,FNP-C
• Chester Theo Royals Jr., M.D.
• Veronica Russ
• Mohammad Salman, MD
• Akkaraju V.S. Sarma, M.D.,

• 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 Mar 28, 2013; 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.