Organization Active NPI

Brown'S Pharmacy

  • Community/Retail Pharmacy
  • Cedartown, GA
National Provider Identifier
1821209644
Registry record updated Sep 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHRE003642 Issued in GA
Legal business name
BROWN'S PHARMACY
Practice address
546 N Main St
Cedartown, GA 30125-2302
Phone
(770) 748-1902
Fax
(770) 748-0814
NPI assigned
May 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2012

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

Authorized official

Name
Mr. Wilburn Lee Brown Jr.
Title
Owner
Phone
(770) 748-1902

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHRE003642 GA Primary

Addresses

Primary practice location

546 N Main St
Cedartown, GA 30125-2302

Mailing address

546 N Main St
Cedartown, GA 30125-2302
Phone (770) 748-1902

Other identifiers 1

IdentifierTypeStateIssuer
000022426AMedicaidGA

National Provider Directory

National Provider Directory

Locations

546 N Main St
Cedartown, GA 30125
Phone (770) 748-1902

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348617600000",
    "number": "1821209644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "546 N MAIN ST",
            "city": "CEDARTOWN",
            "state": "GA",
            "postal_code": "301252302",
            "telephone_number": "770-748-1902",
            "fax_number": "770-748-0814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 N MAIN ST",
            "city": "CEDARTOWN",
            "state": "GA",
            "postal_code": "301252302",
            "telephone_number": "770-748-1902",
            "fax_number": "770-748-0814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWN'S PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2012-09-26",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "WILBURN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-748-1902",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE003642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000022426A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedartown, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; 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.