RX Corner Enterprises LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE009800 Issued in GA

Legal business name

RX CORNER ENTERPRISES LLC

Doing business as

Live Oak Pharmacy

Practice address

98 E Oakland Ave
Camilla, GA 31730-1529

Phone

(229) 336-2255

Fax

(229) 336-2257

NPI assigned

Jan 13, 2012

Organization subpart

No

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

Authorized official

Name

Thomas MoyeNPI 1922371707

Title

Pharmacist/Owner

Phone

(229) 225-7935

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Live Oak Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

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

• Thomas Carbert Moye

  • Pharmacist
  • Camilla, GA
  • NPI 1922371707
  NPD Authorized official

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

{
    "created_epoch": "1326412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484611200000",
    "number": "1841561453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 E OAKLAND AVE",
            "city": "CAMILLA",
            "state": "GA",
            "postal_code": "317301529",
            "telephone_number": "229-336-2255",
            "fax_number": "229-336-2257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 E OAKLAND AVE",
            "city": "CAMILLA",
            "state": "GA",
            "postal_code": "317301529",
            "telephone_number": "229-336-2255",
            "fax_number": "229-336-2257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RX CORNER ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-13",
        "last_updated": "2017-01-17",
        "status": "A",
        "authorized_official_last_name": "MOYE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "229-225-7935"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE009800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2133504",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003120020A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Live Oak Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Suzanne P Reams, PHARM.D.
• Catani Leigh Redding, LPC
• Tywanda Rivers
• Anthony Roddy Jr.
• Stephen A Rubendall Jr., M.D.
• Annie Salami
• Laura Santos, MS, CCC-SLP
• Cathy Scott
• Greg R. Shiver, PA
• Marilyn Rayburn Shiver, P.T., M.S.

• Community/Retail Pharmacy in Camilla, GA
• Providers in Camilla, GA by specialty
• Community/Retail Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; 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.