Organization Active NPI

Brown Drug Co. Inc.

Doing business as Corner Drugs

  • Pharmacist
  • Gainesville, GA
National Provider Identifier
1952387938
Registry record updated Mar 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
12105 Issued in GA
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

Updated by the provider on Mar 19, 2009

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)CodeLicenseStatePrimary
PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
00561239AMedicaidGA

Other names 1

  • Corner Drugs Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.