Tarrytown Expocare Ga, Inc.

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

PHRE009461 Issued in GA

Legal business name

TARRYTOWN EXPOCARE GA, INC.

Doing business as

Tarrytown Expocare GA, Inc.

Practice address

953 Branch CT
Grovetown, GA 30813-3325

Phone

(706) 595-4840

Fax

(706) 595-8665

NPI assigned

Mar 18, 2008

Last updated

Jul 28, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert Meyer Jr

Title

Cfo

Phone

(512) 649-8963

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Tarrytown Expocare GA, Inc. Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cindy L Goolsby

  • Pharmacist
  • Washington, GA
  • NPI 1437747599
  NPD
• Ashley Lancaster Foster, PHARMD

  • Pharmacist
  • Thomson, GA
  • NPI 1902354103
  NPD (past)
• Jett Lavern McCullough, PHARMACIST

  • Pharmacist
  • Thomson, GA
  • NPI 1790992154
  NPD (past)
• Angela Norman Stadler, RPH

  • Pharmacist
  • Thomson, GA
  • NPI 1588711550
  NPD (past)

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785196800000",
    "number": "1831360874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 SHOAL CREEK BLVD BLDG 1",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787576888",
            "telephone_number": "512-617-7312",
            "fax_number": "512-617-7313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "953 BRANCH CT",
            "city": "GROVETOWN",
            "state": "GA",
            "postal_code": "308133325",
            "telephone_number": "706-595-4840",
            "fax_number": "706-595-8665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARRYTOWN EXPOCARE GA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A",
        "authorized_official_last_name": "MEYER JR",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "512-649-8963"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "GA",
            "license": "PHRE009461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2016907",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tarrytown Expocare GA, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert A Suykerbuyk, MD
• Gabriel Steven Takacs, DPT
• Stephanie Bryant Tankersley, PHARMD
• Allison Tapia, MD
• Joshua Daniel Tapia, MD
• Shajuana Janelle Taylor, APRN, ACCNS-AG
• Megdelawit Tessema Tenkessa, MD
• The Kroger Co (Kroger Pharmacy #644)
• The Tanksley Crawford Group
• The Therapy Group LLC

• Long Term Care Pharmacy in Grovetown, GA
• Providers in Grovetown, GA by specialty
• Long Term Care Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.