Qualthera Georgia Holdings, LTD. Co.

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

QUALTHERA GEORGIA HOLDINGS, LTD. CO.

Doing business as

Columbus Custom Rx Pharmacy Compounding and Wellness

Practice address

3290 Williams Rd Ste Bandc
Columbus, GA 31909-5614

Phone

(706) 405-3277

Fax

(706) 940-0755

NPI assigned

May 26, 2025

Organization subpart

No

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

Authorized official

Name

Mr. Donald Prentiss

Title

President

Phone

(706) 405-3277

Specialties & licenses 4

Addresses

Other names 1

• Columbus Custom Rx Pharmacy Compounding and Wellness Doing business as

Locations

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

{
    "created_epoch": "1748217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748217600000",
    "number": "1770376469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3290 WILLIAMS RD STE BANDC",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319095614",
            "telephone_number": "706-405-3277",
            "fax_number": "706-940-0755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3290 WILLIAMS RD STE BANDC",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319095614",
            "telephone_number": "706-405-3277",
            "fax_number": "706-940-0755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALTHERA GEORGIA HOLDINGS, LTD. CO.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-26",
        "last_updated": "2025-05-26",
        "certification_date": "2025-05-26",
        "status": "A",
        "authorized_official_last_name": "PRENTISS",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-405-3277",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Columbus Custom Rx Pharmacy Compounding and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pharmacy in Columbus, GA
• Providers in Columbus, GA by specialty
• Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2025; 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.