Madison Drug, LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

MADISON DRUG, LLC

Doing business as

Madison Drug LLC LTC

Practice address

213 N Main St
Madison, GA 30650-1312

Phone

(706) 342-1722

Fax

(706) 342-3227

NPI assigned

Aug 4, 2023

Last updated

Aug 4, 2023By 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

Kelli Michelle Bass

Title

Pic

Phone

(706) 342-1722

Specialties & licenses 1

Addresses

Other names 1

• Madison Drug LLC LTC Doing business as

Tax ID family

Madison Drug2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Madison Drug LLC

  dba Madison Drug

  • Community/Retail Pharmacy
  • Madison, GA
  • NPI 1780792101
  NPD tax ID

Locations

Practitioners 1

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.

• Kelli Bass McCarty, PHARMD

  • Pharmacist
  • Madison, GA
  • NPI 1609007632
  NPD

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

{
    "created_epoch": "1691107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691107200000",
    "number": "1851073274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 N MAIN ST",
            "city": "MADISON",
            "state": "GA",
            "postal_code": "306501312",
            "telephone_number": "706-342-1722",
            "fax_number": "706-342-3227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 N MAIN ST",
            "city": "MADISON",
            "state": "GA",
            "postal_code": "306501312",
            "telephone_number": "706-342-1722",
            "fax_number": "706-342-3227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON DRUG, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-04",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A",
        "authorized_official_last_name": "BASS",
        "authorized_official_first_name": "KELLI",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "706-342-1722"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Madison Drug LLC LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley Elder Long, PA-C
• Richard Charles Luke, LDO
• Lisa Lyles
• M S Publishing and Consulting LLC (Marilyn S. Snow, Ph.D, LPC, RPT-S)
• Madison Drug LLC (Madison Drug)
• Madison Emergency Group, PC
• Madison Family Medicine,LLP
• Madison House Assisted Living
• Madison Medical Associates, PC
• Madison Primary Care, LLC

• Long Term Care Pharmacy in Madison, GA
• Providers in Madison, 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 Aug 4, 2023; 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.