Organization Active NPI

Nomora Corporation

Doing business as Medicine Shoppe

  • Community/Retail Pharmacy
  • Danielsville, GA
National Provider Identifier
1861526501
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHRE008231 Issued in GA
Legal business name
NOMORA CORPORATION
Doing business as
Medicine Shoppe
Practice address
7 Johnson Dr
Danielsville, GA 30633-7051
Phone
(706) 795-0920
Fax
(706) 795-3025
NPI assigned
Mar 15, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mr. George Elrod, R.PH.
Title
Pharmacist
Phone
(706) 795-0920

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHRE008231 GA Primary

Addresses

Primary practice location

7 Johnson Dr
Danielsville, GA 30633-7051

Mailing address

7 Johnson Dr
Danielsville, GA 30633-7051

Other identifiers 2

IdentifierTypeStateIssuer
00785353AMedicaidGA
1144877OtherGANCPDP

Other names 1

  • Medicine Shoppe Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D0994197Medicine Shoppe #1527, the7 Johnson Drive, Danielsville, GA 30633Certificate of waiverDec 6, 2027

National Provider Directory

National Provider Directory

Locations

7 Johnson Dr
Danielsville, GA 30633
Phone (706) 795-0920

Practitioners & affiliated clinicians

Practitioners 4

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": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1861526501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 JOHNSON DR",
            "city": "DANIELSVILLE",
            "state": "GA",
            "postal_code": "306337051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 JOHNSON DR",
            "city": "DANIELSVILLE",
            "state": "GA",
            "postal_code": "306337051",
            "telephone_number": "706-795-0920",
            "fax_number": "706-795-3025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOMORA CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "ELROD",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "706-795-0920",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE008231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00785353A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1144877",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicine Shoppe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Danielsville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.