Organization Active NPI

Oatts Drug Company Inc

  • Community/Retail Pharmacy
  • Dublin, GA
National Provider Identifier
1780653568
Registry record updated Dec 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHRE005765 Issued in GA
Legal business name
OATTS DRUG COMPANY INC
Doing business as
Oatts Drug Company Inc
Practice address
132 W Jackson St
Dublin, GA 31021-6116
Phone
(478) 272-1822
Fax
(478) 274-9562
NPI assigned
Mar 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2010

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

Authorized official

Name
Mark C Cooper, RPHNPI 1285740910
Title
Owner
Phone
(478) 272-1822

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHRE005765 GA Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

132 W Jackson St
Dublin, GA 31021-6116

Mailing address

P.O. Box 537
Dublin, GA 31040-6116
Phone (478) 272-1822

Other identifiers 2

IdentifierTypeStateIssuer
1109429OtherNCPDP PROVIDER IDENTIFICATION NUMBER
00032733A3MedicaidGA

Other names 1

  • OATTS DRUG COMPANY INC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293580800000",
    "number": "1780653568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 537",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310406116",
            "telephone_number": "478-272-1822",
            "fax_number": "478-274-9562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 W JACKSON ST",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310216116",
            "telephone_number": "478-272-1822",
            "fax_number": "478-274-9562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OATTS DRUG COMPANY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-15",
        "last_updated": "2010-12-29",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-272-1822",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE005765",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1109429",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00032733A3",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OATTS DRUG COMPANY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dublin, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2010; 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.