The Medicine Cabinet - Ward Street, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE010091 Issued in GA

Legal business name

THE MEDICINE CABINET - WARD STREET, LLC

Practice address

235 Ward St W
Douglas, GA 31533-3501

Phone

(912) 383-6337

NPI assigned

Nov 25, 2014

Organization subpart

No

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

Authorized official

Name

Jon Scott Meeks

Title

Owner

Phone

(912) 383-0634

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• The Medicine Cabinet - Ward Street, LLC Doing business as

Practitioners 1

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

• Meagan Louise Walker, PHARMACIST

  • Pharmacist
  • Douglas, GA
  • NPI 1013703388
  NPD

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

{
    "created_epoch": "1416873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583193600000",
    "number": "1851798532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 ASHLEY ST W",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315332349",
            "telephone_number": "912-383-6337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 WARD ST W",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315333501",
            "telephone_number": "912-383-6337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MEDICINE CABINET - WARD STREET, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-25",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A",
        "authorized_official_last_name": "MEEKS",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-383-0634"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE010091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2148871",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Medicine Cabinet - Ward Street, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Medicine Cabinet - Ward Street, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Douglas, GA
• Providers in Douglas, 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 Mar 3, 2020; 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.