NPIMap

Organization Active NPI

Advanced Medical Group LLC

Doing business as Thomas Drug Store

  • Long Term Care Pharmacy
  • Thomasville, GA
National Provider Identifier
1891518536
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
ADVANCED MEDICAL GROUP LLC
Doing business as
Thomas Drug Store
Practice address
816 Gordon Ave
Thomasville, GA 31792-6611
Phone
(229) 226-4201
Fax
(229) 226-4206
NPI assigned
Nov 1, 2024
Last updated
Nov 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

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

Authorized official

Name
Kellie D Rawlins
Title
Compliance
Phone
(678) 689-2389

Specialties & licenses 1

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

Addresses

Primary practice location

816 Gordon Ave
Thomasville, GA 31792-6611

Mailing address

PO Box 1860
Langley, SC 29834-1860
Phone (229) 226-4201

Other names 1

  • Thomas Drug Store Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Langley Drug Company5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1730419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730419200000",
    "number": "1891518536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1860",
            "city": "LANGLEY",
            "state": "SC",
            "postal_code": "298341860",
            "telephone_number": "229-226-4201",
            "fax_number": "229-226-4206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 GORDON AVE",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317926611",
            "telephone_number": "229-226-4201",
            "fax_number": "229-226-4206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-01",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A",
        "authorized_official_last_name": "RAWLINS",
        "authorized_official_first_name": "KELLIE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "COMPLIANCE",
        "authorized_official_telephone_number": "678-689-2389"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thomas Drug Store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 1, 2024; 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.