Organization Active NPI

Carters Drug Store

  • Pharmacist
  • Barnesville, GA
National Provider Identifier
1821136490
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PHRE004011 Issued in GA
Legal business name
CARTERS DRUG STORE
Practice address
203 Main St
Barnesville, GA 30204-1469
Phone
(770) 358-0444
Fax
(770) 358-7330
NPI assigned
Feb 3, 2007
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
Dr. Virginia J Carter, PHARM.D.
Title
Pharmacist in Charge
Phone
(770) 358-0444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X PHRE004011 GA Primary

Addresses

Primary practice location

203 Main St
Barnesville, GA 30204-1469

Mailing address

203 Main St
Barnesville, GA 30204-1469
Phone (770) 358-0444

Other identifiers 1

IdentifierTypeStateIssuer
00022855AMedicaidGA

National Provider Directory

National Provider Directory

Locations

203 Main St
Barnesville, GA 30204
Phone (770) 358-0444

NPI Registry JSON

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

{
    "created_epoch": "1170460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821136490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 MAIN ST",
            "city": "BARNESVILLE",
            "state": "GA",
            "postal_code": "302041469",
            "telephone_number": "770-358-0444",
            "fax_number": "770-358-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 MAIN ST",
            "city": "BARNESVILLE",
            "state": "GA",
            "postal_code": "302041469",
            "telephone_number": "770-358-0444",
            "fax_number": "770-358-7330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARTERS DRUG STORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "770-358-0444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "PHRE004011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00022855A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Barnesville, 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.