NPIMap

Organization Active NPI

Bainbridge Pharmacy Inc.

  • Long Term Care Pharmacy
  • Bainbridge, GA
National Provider Identifier
1861247736
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
BAINBRIDGE PHARMACY INC.
Practice address
1420 E Evans St
Bainbridge, GA 39819-4336
Phone
(229) 246-7200
Fax
(229) 246-6210
NPI assigned
Apr 23, 2024
Last updated
Apr 23, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
BAINBRIDGE PHARMACY INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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

Authorized official

Name
Edward F ReynoldsNPI 1265007504
Title
President
Phone
(229) 246-7200

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

1420 E Evans St
Bainbridge, GA 39819-4336

Mailing address

1420 E Evans St
Bainbridge, GA 39819-4336
Phone (229) 246-7200

Other names 1

  • Bainbridge Pharmacy LTC Other name

National Provider Directory

National Provider Directory
Tax ID family
Bainbridge Pharmacy Inc2 organizations share this tax ID, including this one
Part of
Bainbridge Pharmacy Inc

Other organizations with this tax ID 1

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

Locations

1420 E Evans St
Bainbridge, GA 39819
Phone (229) 246-7200

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1713830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713830400000",
    "number": "1861247736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 E EVANS ST",
            "city": "BAINBRIDGE",
            "state": "GA",
            "postal_code": "398194336",
            "telephone_number": "229-246-7200",
            "fax_number": "229-246-6210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 E EVANS ST",
            "city": "BAINBRIDGE",
            "state": "GA",
            "postal_code": "398194336",
            "telephone_number": "229-246-7200",
            "fax_number": "229-246-6210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAINBRIDGE PHARMACY INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BAINBRIDGE PHARMACY INC.",
        "enumeration_date": "2024-04-23",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "229-246-7200"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bainbridge Pharmacy LTC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bainbridge, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.