Active NPI
Brown'S Pharmacy
- Community/Retail Pharmacy
- Cedartown, GA
National Provider Identifier
1821209644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHRE003642
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000022426A | Medicaid | GA |
National Provider Directory
National Provider DirectoryLocations
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.