Organization Active NPI

Hortons Drug Store Inc

Doing business as Hortons Drug Store

  • Long Term Care Pharmacy
  • Athens, GA
National Provider Identifier
1801390919
Registry record updated Mar 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
PHRE003490 Issued in GA
Legal business name
HORTONS DRUG STORE INC
Doing business as
Hortons Drug Store
Practice address
101 E Clayton St
Athens, GA 30601-2702
Phone
(706) 543-3454
Fax
(706) 543-0244
NPI assigned
Mar 22, 2018
Last updated
Mar 22, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2018

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

Authorized official

Name
Jonahan Marquess
Title
Pharmd
Phone
(706) 543-5434

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Long Term Care Pharmacy 3336L0003X PHRE003490 GA Primary

Addresses

Primary practice location

101 E Clayton St
Athens, GA 30601-2702

Mailing address

8612 Main St
Woodstock, GA 30188-4829
Phone (678) 285-0760

Other identifiers 1

IdentifierTypeStateIssuer
2176382OtherPK

Other names 1

  • Hortons Drug Store Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hortons Drug Store2 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.

Locations

101 E Clayton St
Athens, GA 30601
Phone (706) 543-3454

NPI Registry JSON

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

{
    "created_epoch": "1521676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521676800000",
    "number": "1801390919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8612 MAIN ST",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301884829",
            "telephone_number": "678-285-0760",
            "fax_number": "770-971-0315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E CLAYTON ST",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306012702",
            "telephone_number": "706-543-3454",
            "fax_number": "706-543-0244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORTONS DRUG STORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-22",
        "last_updated": "2018-03-22",
        "status": "A",
        "authorized_official_last_name": "MARQUESS",
        "authorized_official_first_name": "JONAHAN",
        "authorized_official_title_or_position": "PHARMD",
        "authorized_official_telephone_number": "706-543-5434"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "GA",
            "license": "PHRE003490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2176382",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hortons Drug Store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Athens, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2018; 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.