Organization Active NPI

Habersham Drug LTC

  • Long Term Care Pharmacy
  • Demorest, GA
National Provider Identifier
1881314698
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
HABERSHAM DRUG LTC
Practice address
638 Historic Hwy 441N
Suite a
Demorest, GA 30535-3053
Phone
(706) 754-4128
NPI assigned
Aug 31, 2022
Last updated
Aug 31, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
DFG LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 31, 2022

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

Authorized official

Name
Deborah Gale, RPHNPI 1407278237
Title
Owner/RPH
Phone
(706) 754-4128

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X NU Primary

Addresses

Primary practice location

638 Historic Hwy 441N
Suite a
Demorest, GA 30535-3053

Mailing address

638 Historic Hwy 441 Suite a
Demorest, GA 30535
Phone (706) 754-4128

National Provider Directory

National Provider Directory
Part of
Habersham Drug LTC

Locations

638 441 Historic Hwy N
Ste A
Demorest, GA 30535
Phone (706) 754-4128

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1661904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661904000000",
    "number": "1881314698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "638 HISTORIC HWY 441 SUITE A",
            "city": "DEMOREST",
            "state": "GA",
            "postal_code": "30535",
            "telephone_number": "706-754-4128",
            "fax_number": "706-754-4928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 HISTORIC HWY 441N",
            "address_2": "SUITE A",
            "city": "DEMOREST",
            "state": "GA",
            "postal_code": "305353053",
            "telephone_number": "706-754-4128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HABERSHAM DRUG LTC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DFG LLC",
        "enumeration_date": "2022-08-31",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-30",
        "status": "A",
        "authorized_official_last_name": "GALE",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "OWNER/RPH",
        "authorized_official_telephone_number": "706-754-4128",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Demorest, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.