Organization Active NPI

Monroe Drug Company

  • Community/Retail Pharmacy
  • Monroe, GA
National Provider Identifier
1831260488
Registry record updated Oct 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHRE002761 Issued in GA
Legal business name
MONROE DRUG COMPANY
Practice address
221 S Midland Ave
Monroe, GA 30655-1629
Phone
(770) 267-2530
NPI assigned
Nov 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2011

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

Authorized official

Name
Ms. Deanna Hamby Green, J.D.
Title
Attorney/Cfo
Phone
(770) 267-2530

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHRE002761 GA Primary

Addresses

Primary practice location

221 S Midland Ave
Monroe, GA 30655-1629

Mailing address

PO Box 1006
Monroe, GA 30655-1006
Phone (770) 267-2530

Other identifiers 1

IdentifierTypeStateIssuer
00032238AMedicaidGA

National Provider Directory

National Provider Directory

Locations

221 S Midland Ave
Monroe, GA 30655
Phone (770) 267-2530

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319155200000",
    "number": "1831260488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1006",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306551006",
            "telephone_number": "770-267-2530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 S MIDLAND AVE",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306551629",
            "telephone_number": "770-267-2530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONROE DRUG COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2011-10-21",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_middle_name": "HAMBY",
        "authorized_official_title_or_position": "ATTORNEY/CFO",
        "authorized_official_telephone_number": "770-267-2530",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "J.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE002761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00032238A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; 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.