The Medicine Cabinet of Waycross Downtown LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE005927 Issued in GA

Legal business name

THE MEDICINE CABINET OF WAYCROSS DOWNTOWN LLC

Doing business as

The Medicine Cabinet of Waycross - Downtown, LLC

Practice address

620 Tebeau St
Waycross, GA 31501-4728

Phone

(912) 283-2772

Fax

(912) 284-0009

NPI assigned

Apr 19, 2006

Last updated

Feb 20, 2017By 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

Jon MeeksNPI 1144362963

Title

Owner

Phone

(912) 383-8510

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• THE MEDICINE CABINET OF WAYCROSS - DOWNTOWN, LLC Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

• Jon Scott Meeks, RPH

  • Pharmacist
  • Douglas, GA
  • NPI 1144362963
  Authorized official Same address or phone

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1861457004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 TEBEAU ST",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315014728",
            "telephone_number": "912-283-2772",
            "fax_number": "912-284-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 TEBEAU ST",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315014728",
            "telephone_number": "912-283-2772",
            "fax_number": "912-284-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MEDICINE CABINET OF WAYCROSS DOWNTOWN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "MEEKS",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-383-8510"
    },
    "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": "PHRE005927",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2012895",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00507064A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE MEDICINE CABINET OF WAYCROSS - DOWNTOWN, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Waycross, GA
• Providers in Waycross, 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 Feb 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.