Winnersville Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE010062 Issued in GA

Legal business name

WINNERSVILLE PHARMACY, LLC

Doing business as

Amerimed Pharmacy

Practice address

3782 Old US Highway 41 N
Suite C
Valdosta, GA 31602-6834

Phone

(229) 253-0067

Fax

(229) 219-1588

NPI assigned

Sep 16, 2014

Last updated

Feb 20, 2017By 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

Troy Allen

Title

General Manager

Phone

(229) 253-0067

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• AMERIMED PHARMACY Doing business as

Locations

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.

• Haley S Gay

  • Pharmacist
  • Valdosta, GA
  • NPI 1770056855
  NPD (past)

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

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1760884233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4824",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316044824",
            "telephone_number": "229-253-0067",
            "fax_number": "229-219-1588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3782 OLD US HIGHWAY 41 N",
            "address_2": "SUITE C",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316026834",
            "telephone_number": "229-253-0067",
            "fax_number": "229-219-1588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINNERSVILLE PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-16",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "TROY",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "229-253-0067"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE010062",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2148299",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMERIMED PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steven Michael Wilson, O.D.
• Shonta K Winbush, PA
• Jessica Wing
• Winnersville Long Term Care Packaging (AmeriMed Long-Term Care Packaging)
• Winnersville Pharmacy LLC (Amerimed Long-Term Care Packaging)
• July Wise
• Marcie C Wiseman, PHD
• Chaeli Wisenbaker, PA-C
• Regina Katherine Wisenbaker, LCSW
• Patricia M Wittenborn, LCSW

• Community/Retail Pharmacy in Valdosta, GA
• Providers in Valdosta, 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 20, 2017; 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.