Newnan Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE009898 Issued in GA

Legal business name

NEWNAN PHARMACY INC

Doing business as

Newnan Pharmacy Inc.

Practice address

15 Baker Rd Ste 2
Newnan, GA 30265-2155

Phone

(770) 683-6771

Fax

(770) 683-6773

NPI assigned

Feb 1, 2013

Organization subpart

No

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

Authorized official

Name

Johannes Smit

Title

Owner

Phone

(770) 304-1345

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Newnan Pharmacy Inc. Doing business as

Locations

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

{
    "created_epoch": "1359676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466640000000",
    "number": "1871832592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 BAKER RD STE 2",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652155",
            "telephone_number": "770-683-6771",
            "fax_number": "770-683-6773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 BAKER RD STE 2",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652155",
            "telephone_number": "770-683-6771",
            "fax_number": "770-683-6773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWNAN PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-01",
        "last_updated": "2016-06-23",
        "status": "A",
        "authorized_official_last_name": "SMIT",
        "authorized_official_first_name": "JOHANNES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-304-1345"
    },
    "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": "PHRE009898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003136100A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2138858",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Newnan Pharmacy Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Newnan, GA
• Providers in Newnan, 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 Jun 23, 2016; 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.