William Grady Cagle Jr.

Primary specialty

PharmacistTaxonomy code 183500000X

License

8181 Issued in GA

Practice address

196 E Main St
Canton, GA 30114-2707

Phone

(770) 479-5533

Fax

(770) 479-9135

NPI assigned

Oct 18, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Midcity Pharmacy

  • Pharmacist
  • Canton, GA
  • NPI 1619044914
  NPD Authorized official
• Midcity Pharmacy LTC

  dba William G Cagle, JR

  • Long Term Care Pharmacy
  • Canton, GA
  • NPI 1295618932
  NPD Authorized official

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1861573263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 EAST MAIN ST",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "30114",
            "telephone_number": "770-479-5533",
            "fax_number": "770-479-9135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 E MAIN ST",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301142707",
            "telephone_number": "770-479-5533",
            "fax_number": "770-479-9135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAGLE",
        "first_name": "WILLIAM",
        "middle_name": "GRADY",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "8181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00032051A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madison Butler, DMD
• Taelar Bybee
• Stephen E Byrd
• Stephen A. Byrne, DPM
• Harriet Eyvonne Cadle, CFNP
• Lauren Calamari, DPT
• Lauren Caldwell, FNP-C
• Jabre'la Calloway
• Lynne Conatser Camak, FNP
• Paige Bloodworth Camp, MEDICAL DOCTOR

• Pharmacist in Canton, GA
• Providers in Canton, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.