Organization Active NPI

Putnam Pharmacy Inc

Doing business as Ray Drug Company

  • Community/Retail Pharmacy
  • Eatonton, GA
National Provider Identifier
1942382734
Registry record updated Sep 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHRE005851 Issued in GA
Legal business name
PUTNAM PHARMACY INC
Doing business as
Ray Drug Company
Practice address
234 N Jefferson Ave
Eatonton, GA 31024-1022
Phone
(706) 485-3081
Fax
(706) 485-5135
NPI assigned
Oct 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2014

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

Authorized official

Name
Anthony Ray, BSPH
Title
Cfo
Phone
(706) 485-3081

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHRE005851 GA Primary

Addresses

Primary practice location

234 N Jefferson Ave
Eatonton, GA 31024-1022

Mailing address

234 N Jefferson Ave
Eatonton, GA 31024-1022
Phone (706) 485-3081

Other identifiers 2

IdentifierTypeStateIssuer
2013942OtherPK
000033888AMedicaidGA

Other names 1

  • RAY DRUG COMPANY Doing business as

National Provider Directory

National Provider Directory

Locations

234 N Jefferson Ave
Eatonton, GA 31024
Phone (706) 485-3081

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410480000000",
    "number": "1942382734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 N JEFFERSON AVE",
            "city": "EATONTON",
            "state": "GA",
            "postal_code": "310241022",
            "telephone_number": "706-485-3081",
            "fax_number": "706-485-5135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 N JEFFERSON AVE",
            "city": "EATONTON",
            "state": "GA",
            "postal_code": "310241022",
            "telephone_number": "706-485-3081",
            "fax_number": "706-485-5135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUTNAM PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2014-09-12",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "706-485-3081",
        "authorized_official_credential": "BSPH"
    },
    "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": "PHRE005851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2013942",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000033888A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RAY DRUG COMPANY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eatonton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2014; 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.