Active NPI
Hortons Drug Store Inc
Doing business as Hortons Drug Store
- Long Term Care Pharmacy
- Athens, GA
National Provider Identifier
1801390919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- PHRE003490
- 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, 2018
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2176382 | Other | PK |
Other names 1
- Hortons Drug Store
National Provider Directory
National Provider Directory- Tax ID family
- Hortons Drug Store
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.