Sonoraville Pharmacy, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE010145 Issued in GA

Legal business name

SONORAVILLE PHARMACY, INC.

Doing business as

Sonoraville Pharmacy

Practice address

6824 Fairmount Hwy SE
Calhoun, GA 30701-4019

Phone

(706) 383-8604

Fax

(706) 383-8658

NPI assigned

May 9, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Larry Ralph Johnston, RPH.

Title

Pharmacist/Owner

Phone

(706) 383-8604

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sonoraville Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1431129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431129600000",
    "number": "1801274956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6824 FAIRMOUNT HWY SE",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307014019",
            "telephone_number": "706-383-8604",
            "fax_number": "706-383-8658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6824 FAIRMOUNT HWY SE",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307014019",
            "telephone_number": "706-383-8604",
            "fax_number": "706-383-8658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONORAVILLE PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-09",
        "last_updated": "2015-05-09",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "RALPH",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "706-383-8604",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE010145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PHRE010145",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sonoraville Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniela M Smith, PHARMD
• Gail Speers Smith, PHARMD
• Jason Wayne Smith, NP
• Jennifer M Smith, PA
• Mark A Songer, DDS
• Andrew Lee Sorensen, DPT
• Southerncare Family Medicine, P.C.
• Joseph Spada
• Timothy Sparks
• Caroline M Stackhouse, MD

• Community/Retail Pharmacy in Calhoun, GA
• Providers in Calhoun, 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 May 9, 2015; 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.