Cave Spring Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE009047 Issued in GA

Legal business name

CAVE SPRING PHARMACY LLC

Doing business as

Cave Spring Pharmacy LLC

Practice address

26 Rome Rd SW
Cave Spring, GA 30124-2701

Phone

(706) 777-9950

Fax

(706) 777-8235

NPI assigned

Aug 10, 2006

Last updated

Sep 15, 2011By 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

Clyde Musick, RPH

Title

Owner

Phone

(706) 232-3047

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• CAVE SPRING PHARMACY LLC Doing business as

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316044800000",
    "number": "1861403404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 310",
            "city": "CAVE SPRING",
            "state": "GA",
            "postal_code": "301240310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 ROME RD SW",
            "city": "CAVE SPRING",
            "state": "GA",
            "postal_code": "301242701",
            "telephone_number": "706-777-9950",
            "fax_number": "706-777-8235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAVE SPRING PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2011-09-15",
        "status": "A",
        "authorized_official_last_name": "MUSICK",
        "authorized_official_first_name": "CLYDE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-232-3047",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE009047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1154626",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "089202086A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CAVE SPRING PHARMACY LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• A Bridge Home LLC
• Timmy Jay Agan, M.S., A.T.,C.
• Best Healthcare and Wellness
• Susan Butler Sumner, M.D.
• Cave Spring Manor,LLC (Cave Spring Manor)
• Cline & Forrister Pharmacy, Inc
• Taylor Nelson Donaldson, NP
• Russell Franklin, DNP, FNP
• Steven Daniel Houston, MS, BCBA
• J&J Pharmacy Inc (J&J Pharmacy)

• Community/Retail Pharmacy in Cave Spring, GA
• Providers in Cave Spring, 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 Sep 15, 2011; 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.