Organization Active NPI

Dire Wolf Solutions LLC

  • Community/Retail Pharmacy
  • Albany, GA
National Provider Identifier
1821918012
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
DIRE WOLF SOLUTIONS LLC
Practice address
2303 Dawson Rd Ste 102D
Albany, GA 31707-2715
Phone
(229) 255-6842
NPI assigned
Jul 17, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Authorized official

Name
Kenterrious Brooks-Mims
Title
Organizer
Phone
(229) 255-6842

Specialties & licenses 1

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

Addresses

Primary practice location

2303 Dawson Rd Ste 102D
Albany, GA 31707-2715

Mailing address

2021 N Slappey Blvd # 171
Albany, GA 31701-1001
Phone (229) 255-6842

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1784246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784246400000",
    "number": "1821918012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 N SLAPPEY BLVD # 171",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011001",
            "telephone_number": "229-255-6842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2303 DAWSON RD STE 102D",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317072715",
            "telephone_number": "229-255-6842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRE WOLF SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-17",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A",
        "authorized_official_last_name": "BROOKS-MIMS",
        "authorized_official_first_name": "KENTERRIOUS",
        "authorized_official_title_or_position": "ORGANIZER",
        "authorized_official_telephone_number": "229-255-6842"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; 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.