Active NPI
Equimed Global LLC
- Community/Retail Pharmacy
- Albany, GA
National Provider Identifier
1821930140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- EQUIMED GLOBAL LLC
- Practice address
- 4541 La Costa Drive
Albany, GA 31721 - Phone
- (229) 349-3363
- NPI assigned
- Apr 7, 2026
- 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
- Ms. Lakeisha Monique Jackson
- Title
- Organizer
- Phone
- (229) 349-3363
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
4541 La Costa Drive
Albany, GA 31721
Mailing address
4541 La Costa Drive
Albany, GA 31721
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1775520000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780272000000",
"number": "1821930140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4541 LA COSTA DRIVE",
"city": "ALBANY",
"state": "GA",
"postal_code": "31721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4541 LA COSTA DRIVE",
"city": "ALBANY",
"state": "GA",
"postal_code": "31721",
"telephone_number": "229-349-3363"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EQUIMED GLOBAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-04-07",
"last_updated": "2026-06-01",
"certification_date": "2026-06-01",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "LAKEISHA",
"authorized_official_middle_name": "MONIQUE",
"authorized_official_title_or_position": "ORGANIZER",
"authorized_official_telephone_number": "229-349-3363",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"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 Jun 1, 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.