Organization Active NPI

Lumpkin Drugs Inc.

  • Community/Retail Pharmacy
  • Columbus, GA
National Provider Identifier
1962596320
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHRE006124 Issued in GA
Legal business name
LUMPKIN DRUGS INC.
Practice address
1163 27TH St
Columbus, GA 31904-8614
Phone
(706) 322-8211
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John Colquitt Logan Jr., PHARMDNPI 1649458035
Title
Vice Pres
Phone
(706) 322-8211

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHRE006124 GA Primary

Addresses

Primary practice location

1163 27TH St
Columbus, GA 31904-8614

Mailing address

1163 27TH St
Columbus, GA 31904-8614
Phone (706) 322-8211

Other identifiers 1

IdentifierTypeStateIssuer
00443099AMedicaidGA

Other names 1

  • Jordan City Pharmacy 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.

Locations

1163 27th St
Columbus, GA 31904
Phone (706) 322-8211

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962596320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1163 27TH ST",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319048614",
            "telephone_number": "706-322-8211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1163 27TH ST",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319048614",
            "telephone_number": "706-322-8211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMPKIN DRUGS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOGAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "COLQUITT",
        "authorized_official_title_or_position": "VICE PRES",
        "authorized_official_telephone_number": "706-322-8211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE006124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00443099A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jordan City Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.