Swan Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE010634 Issued in GA

Legal business name

SWAN PHARMACY INC

Doing business as

Gunn Drug Company

Practice address

48 N Main St
Wadley, GA 30477

Phone

(478) 252-5252

Fax

(478) 252-1770

NPI assigned

Jan 2, 2007

Last updated

Jul 3, 2018By 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

Laura Battle Swan, PHARMACIST

Title

President

Phone

(478) 252-5252

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 2

• GUNN DRUG COMPANY Doing business as
• GUNN DRUG COMPANY INC Former legal business name

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Tax ID family

Swan Pharmacy Inc2 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.

• Swan Pharmacy Inc

  • Community/Retail Pharmacy
  • Mitchell, GA
  • NPI 1295566214
  NPD tax ID

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.

• Swan Pharmacy Inc

  • Community/Retail Pharmacy
  • Mitchell, GA
  • NPI 1295566214
  NPPES parent name

Practitioners 2

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.

• Matt Swan

  • Pharmacist
  • Wadley, GA
  • NPI 1255098398
  NPD
• John David Gunn, R.PH.

  • Pharmacist
  • Wadley, GA
  • NPI 1679630149
  NPD (past)

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530576000000",
    "number": "1750448874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 N MAIN ST",
            "address_2": "PO BOX 69",
            "city": "WADLEY",
            "state": "GA",
            "postal_code": "304770069",
            "telephone_number": "478-252-5252",
            "fax_number": "478-252-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 N MAIN ST",
            "city": "WADLEY",
            "state": "GA",
            "postal_code": "30477",
            "telephone_number": "478-252-5252",
            "fax_number": "478-252-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWAN PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2018-07-03",
        "status": "A",
        "authorized_official_last_name": "SWAN",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "BATTLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "478-252-5252",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE000167",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE010634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000028619A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GUNN DRUG COMPANY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GUNN DRUG COMPANY INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• John W Farrior, PA
• John David Gunn, R.PH.
• Hospital Authority of Jefferson County and the City of Louisville (Physicians Health Group Wadley)
• Danna Sanchez
• Bernice Scales, DDS
• Matt Swan
• Rickea Chante Tarver
• Vero Health I, LLC (Vero Health and Rehab of Wadley)
• Wadley SNF Operator LLC (Comfort Creek Nursing and Rehabilitation Center)

• Community/Retail Pharmacy in Wadley, GA
• Providers in Wadley, 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 Jul 3, 2018; 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.