NPIMap

Organization Active NPI

Jim Cash Pharmacy LLC

  • Community/Retail Pharmacy
  • Buchanan, GA
National Provider Identifier
1891745329
Registry record updated Jul 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHRE005866 Issued in GA
Legal business name
JIM CASH PHARMACY LLC
Practice address
406 Carrollton St
Buchanan, GA 30113
Phone
(770) 646-3570
Fax
(770) 646-3571
NPI assigned
May 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2012

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

Authorized official

Name
Mr. Patrick M Cook, PHARM.D.NPI 1083835946
Title
Pharmacist
Phone
(770) 646-3570

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X GA
Community/Retail Pharmacy 3336C0003X PHRE005866 GA Primary

Addresses

Primary practice location

406 Carrollton St
Buchanan, GA 30113

Mailing address

PO Box 369
Buchanan, GA 30113-0369
Phone (770) 646-3570

Other identifiers 3

IdentifierTypeStateIssuer
1107057OtherNABP NUMBER
87BBBCZOtherGAPTAN
204219195AMedicaidGA

Other names 1

  • BUCHANAN DRUGS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070625000005 GA Part B Supplier - Other 6406955954 Practice locations: Buchanan, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D1058499Jim Cash Pharmacy406 Carrollton Street, Buchanan, GA 30113Certificate of waiverSep 6, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343174400000",
    "number": "1891745329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 369",
            "city": "BUCHANAN",
            "state": "GA",
            "postal_code": "301130369",
            "telephone_number": "770-646-3570",
            "fax_number": "770-646-3571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 CARROLLTON ST",
            "city": "BUCHANAN",
            "state": "GA",
            "postal_code": "30113",
            "telephone_number": "770-646-3570",
            "fax_number": "770-646-3571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIM CASH PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2012-07-25",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "770-646-3570",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE005866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP NUMBER",
            "identifier": "1107057",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "87BBBCZ",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204219195A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BUCHANAN DRUGS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Buchanan, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.