Organization Active NPI

Pal Home Diagnostics&Resp.Care

  • Pharmacy
  • Dublin, GA
National Provider Identifier
1821096199
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PHRE008679 Issued in GA
Legal business name
PAL HOME DIAGNOSTICS&RESP.CARE
Practice address
1115D Hillcrest Pkwy
Dublin, GA 31021-3555
Phone
(478) 274-1653
Fax
(478) 274-0895
NPI assigned
Jul 12, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Patricia A Lowery II, NDT CRTTNPI 1710984414
Title
President
Phone
(478) 274-1653

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHRE008679 GA Primary

Addresses

Primary practice location

1115D Hillcrest Pkwy
Dublin, GA 31021-3555

Mailing address

1115D Hillcrest Pkwy
Dublin, GA 31021-3555
Phone (478) 274-1653

Other identifiers 1

IdentifierTypeStateIssuer
00978931AMedicaidGA

National Provider Directory

National Provider Directory

Locations

1115 Hillcrest Pkwy
Ste D
Dublin, GA 31021
Phone (478) 274-1653

Practitioners & affiliated clinicians

Practitioners 1

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": "1121126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821096199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115D HILLCREST PKWY",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310213555",
            "telephone_number": "478-274-1653",
            "fax_number": "478-274-0895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115D HILLCREST PKWY",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310213555",
            "telephone_number": "478-274-1653",
            "fax_number": "478-274-0895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAL HOME DIAGNOSTICS&RESP.CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOWERY",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "478-274-1653",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "NDT CRTT"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "GA",
            "license": "PHRE008679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00978931A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.