NPIMap

Organization Active NPI

Lumpkin Drugs Inc

  • Community/Retail Pharmacy
  • Lumpkin, GA
National Provider Identifier
1902811532
Registry record updated Jun 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHRE002979 Issued in GA
Legal business name
LUMPKIN DRUGS INC
Practice address
815 Cotton St
Lumpkin, GA 31815
Phone
(229) 838-6245
Fax
(229) 838-4409
NPI assigned
Jul 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2011

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

Authorized official

Name
John Logan, PHARM D
Title
Owner
Phone
(229) 838-6245

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHRE002979 GA Primary

Addresses

Primary practice location

815 Cotton St
Lumpkin, GA 31815

Mailing address

PO Box 674
Lumpkin, GA 31815-0674

Other identifiers 2

IdentifierTypeStateIssuer
1111498OtherNCPDP PROVIDER IDENTIFICATION NUMBER
00031094AMedicaidGA

Other names 1

  • LUMPKIN DRUGS INC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Jordan City Pharmacy2 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.

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308268800000",
    "number": "1902811532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 674",
            "city": "LUMPKIN",
            "state": "GA",
            "postal_code": "318150674",
            "fax_number": "229-838-4409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 COTTON ST",
            "city": "LUMPKIN",
            "state": "GA",
            "postal_code": "31815",
            "telephone_number": "229-838-6245",
            "fax_number": "229-838-4409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMPKIN DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2011-06-17",
        "status": "A",
        "authorized_official_last_name": "LOGAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-838-6245",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE002979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1111498",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00031094A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LUMPKIN DRUGS INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lumpkin, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.