Magnolia Drug Co Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

MAGNOLIA DRUG CO INC

Practice address

112 N Church St Ste a
Homerville, GA 31634-2403

Phone

(912) 470-7277

NPI assigned

Apr 2, 2025

Organization subpart

No

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

Authorized official

Name

Matthew Tanner

Title

Ceo

Phone

(912) 470-7277

Specialties & licenses 1

Addresses

Tax ID family

Magnolia Drug Co Inc2 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.

• Magnolia Drug Co Inc

  • Community/Retail Pharmacy
  • Homerville, GA
  • NPI 1861114217
  NPD tax ID

Locations

Practitioners 1

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

• Holly Tanner

  • Pharmacist
  • Waycross, GA
  • NPI 1376132464
  NPD

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

{
    "created_epoch": "1743552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743552000000",
    "number": "1972307734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 N CHURCH ST STE A",
            "city": "HOMERVILLE",
            "state": "GA",
            "postal_code": "316342403",
            "telephone_number": "912-470-7277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 N CHURCH ST STE A",
            "city": "HOMERVILLE",
            "state": "GA",
            "postal_code": "316342403",
            "telephone_number": "912-470-7277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA DRUG CO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-02",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A",
        "authorized_official_last_name": "TANNER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "912-470-7277"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elesha Renee Harris, LCSW
• Infinity Medical Equipment
• Julie Jill English Knight, PHARMD
• Mary G. Lankford, PHARM.D.
• Magnolia Drug Co Inc
• Mark S. Ritz D.D.S. P.C.
• Jesse McKinnon, FNP-C
• Heather Minshew, NP-C
• David O'Neal Morris Jr., CHIROPRACTOR
• Murray Drug Co

• Long Term Care Pharmacy in Homerville, GA
• Providers in Homerville, GA by specialty
• Long Term Care Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; 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.