Ponder Pharmacy Inc
Organization Active NPI Community/Retail Pharmacy · Trenton, GA
NPI 1902950355 · NPPES record last updated Mar 20, 2009
Key facts
- NPI
- 1902950355
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- PHRE007684 (GA)
- Legal business name
- PONDER PHARMACY INC
- Practice address
- 11997 S Main St
Trenton, GA 30752-2855 - Phone
- (706) 657-8100
- Fax
- (706) 657-7977
- NPI assigned
- Jan 23, 2007
- Organization subpart
- No
Authorized official
- Name
- Ernie Ponder
- Title
- Owner
- Phone
- (706) 657-8100
Practitioners 1
-
Jennifer Ponder Hicks, PHARM. D.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PHRE007684 | GA | Yes |
Addresses
Primary practice location
11997 S Main St
Trenton, GA 30752-2855
Mailing address
PO Box 849
Trenton, GA 30752-0849
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 576815 | Medicaid | GA | |
| 1139890 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names
- PONDER PHARMACY
Other providers in Trenton, GA
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- R. Chad Owens
- Michele Holifield Page
- Taylor Peters
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- Price Pharmacy Inc
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- George Burton Reed III
All providers in Trenton, GA · Community/Retail Pharmacy in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 20, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.