Active NPI
Brown Drug Co. Inc.
Doing business as Corner Drugs
- Pharmacist
- Gainesville, GA
National Provider Identifier
1952387938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12105
- Legal business name
- BROWN DRUG CO. INC.
- Doing business as
- Corner Drugs
- Practice address
- 1294 Thompson Bridge Rd
Gainesville, GA 30501 - Phone
- (770) 534-2854
- Fax
- (770) 534-2938
- NPI assigned
- Dec 21, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cleveland W. Brown, RPH
- Title
- Owner Pharmacist
- Phone
- (770) 534-2854
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 12105 | GA | Primary |
Addresses
Primary practice location
1294 Thompson Bridge Rd
Gainesville, GA 30501
Mailing address
1294 Thompson Bridge Rd
Gainesville, GA 30501
Phone (770) 534-2854
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00561239A | Medicaid | GA |
Other names 1
- Corner Drugs
National Provider Directory
National Provider DirectoryLocations
1294 Thompson Bridge Rd
Gainesville, GA 30501
Phone (678) 866-4104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135123200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1237420800000",
"number": "1952387938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1294 THOMPSON BRIDGE RD",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "30501",
"telephone_number": "770-534-2854",
"fax_number": "770-534-2938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1294 THOMPSON BRIDGE RD",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "30501",
"telephone_number": "770-534-2854",
"fax_number": "770-534-2938"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BROWN DRUG CO. INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-21",
"last_updated": "2009-03-19",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "CLEVELAND",
"authorized_official_middle_name": "W.",
"authorized_official_title_or_position": "OWNER PHARMACIST",
"authorized_official_telephone_number": "770-534-2854",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "GA",
"license": "12105",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00561239A",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Corner Drugs",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Gainesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.