Organization Active NPI

Shellman Pharmacy

  • Long Term Care Pharmacy
  • Shellman, GA
National Provider Identifier
1831947852
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
SHELLMAN PHARMACY
Practice address
75 W Railroad St
Shellman, GA 39886-3100
Phone
(229) 679-5070
NPI assigned
May 7, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Authorized official

Name
Jessica JonesNPI 1760402986
Title
Owner
Phone
(229) 310-0964

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

75 W Railroad St
Shellman, GA 39886-3100

Mailing address

PO Box 59
Shellman, GA 39886-0059
Phone (229) 679-5070

National Provider Directory

National Provider Directory

Locations

75 W Railroad St
Shellman, GA 39886
Phone (229) 679-5070

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1715040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1831947852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 59",
            "city": "SHELLMAN",
            "state": "GA",
            "postal_code": "398860059",
            "telephone_number": "229-679-5070",
            "fax_number": "229-679-5059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 W RAILROAD ST",
            "city": "SHELLMAN",
            "state": "GA",
            "postal_code": "398863100",
            "telephone_number": "229-679-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELLMAN PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-07",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-310-0964"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shellman, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; 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.