Active NPI
Carters Drug Store
- Pharmacist
- Barnesville, GA
National Provider Identifier
1821136490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PHRE004011
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00022855A | Medicaid | GA |
National Provider Directory
National Provider DirectoryLocations
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.