Mike'S Pharmacy, Inc

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

MIKE'S PHARMACY, INC

Practice address

11189 Columbia St
Blakely, GA 39823-3475

Phone

(229) 724-4461

Fax

(229) 724-4480

NPI assigned

Aug 14, 2014

Organization subpart

No

Name

Michael L PitzingNPI 1477691327

Title

Owner

Phone

(334) 794-3174

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

• Michael Lynn Pitzing

  • Pharmacist
  • Dothan, AL
  • NPI 1477691327
  NPD Authorized official

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 14, 2014.

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407974400000",
    "number": "1962801159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1826",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363021826",
            "telephone_number": "334-794-3174",
            "fax_number": "334-794-7039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11189 COLUMBIA ST",
            "city": "BLAKELY",
            "state": "GA",
            "postal_code": "398233475",
            "telephone_number": "229-724-4461",
            "fax_number": "229-724-4480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKE'S PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-14",
        "last_updated": "2014-08-14",
        "status": "A",
        "authorized_official_last_name": "PITZING",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-794-3174"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Singletary Mansfield, FNP-C
• Kelly Diane McCarley
• Penelope Leigh McDonald, LPC
• Medicomp, Inc.
• Donna Lashawn Mells-McCoy
• Michelle Mock, RN
• Luis Alberto Murrain, D.O.
• Samantha Peckham, AT, ATC
• Jack Perryman
• Pioneer Community Hospital of Early

• All providers in Blakely, GA
• Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.