Josh Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

JOSH PHARMACY

Practice address

1776 Panola Rd
Ellenwood, GA 30294-2856

Phone

(770) 545-8555

Fax

(770) 545-8556

NPI assigned

Jan 20, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Jimmy GbemiNPI 1689088064

Title

Pharmacist

Phone

(478) 278-8155

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jimmy Gbemi

  • Pharmacist
  • McDonough, GA
  • NPI 1689088064
  NPD Authorized official

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

{
    "created_epoch": "1547942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750377600000",
    "number": "1891269189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 WINDWARD HLS",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302535991",
            "telephone_number": "478-278-8155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 PANOLA RD",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302942856",
            "telephone_number": "770-545-8555",
            "fax_number": "770-545-8556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSH PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-20",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A",
        "authorized_official_last_name": "GBEMI",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "478-278-8155",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003219745A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Community/Retail Pharmacy in Ellenwood, GA
• Providers in Ellenwood, 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 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.