NPIMap

Organization Active NPI

My Ideal Care, LLC

  • Mail Order Pharmacy
  • Thomasville, GA
National Provider Identifier
1891090726
Registry record updated Jan 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mail Order PharmacyTaxonomy code 3336M0002X
Legal business name
MY IDEAL CARE, LLC
Practice address
218 W Jackson St
Suite 204
Thomasville, GA 31792-5491
Phone
(229) 236-0197
NPI assigned
Jan 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2011

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

Authorized official

Name
Mr. Adrian Paul Davis
Title
Owner
Phone
(229) 236-0197

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mail Order Pharmacy 3336M0002X Primary

Addresses

Primary practice location

218 W Jackson St
Suite 204
Thomasville, GA 31792-5491

Mailing address

218 W Jackson St
Suite 204
Thomasville, GA 31792-5491
Phone (229) 236-0197

National Provider Directory

National Provider Directory
Tax ID family
My Ideal Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

218 W Jackson St
Ste 204
Thomasville, GA 31792
Phone (229) 236-0197

NPI Registry JSON

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

{
    "created_epoch": "1295913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295913600000",
    "number": "1891090726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 W JACKSON ST",
            "address_2": "SUITE 204",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317925491",
            "telephone_number": "229-236-0197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 W JACKSON ST",
            "address_2": "SUITE 204",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317925491",
            "telephone_number": "229-236-0197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY IDEAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-25",
        "last_updated": "2011-01-25",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ADRIAN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-236-0197",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; 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.