QUINATE PHARMACY LLC (NPI# 1053891887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053891887 |
| Entity Type | Organization |
| Organization Name | QUINATE PHARMACY LLC |
| Other Organization Name | SOUTHERN HOMETOWN PHARMACY |
| Practice Address |
546 W Bacon St Pembroke GA 31321-4648 |
| Mailing Address |
1557 Pooler Pkwy Ste 400 Pooler GA 31322-4389 |
| Practice Telephone | 9126531000 |
| Practice Fax Number | 9122954667 |
| Mailing Telephone | 9126531000 |
| Mailing Fax Number | 9122954667 |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2020-05-27 |
| Authorized Official Name | MRS. TRACEY LEAVITT (MANAGING PARTNER) |
| Authorized Official Telephone | 9125093330 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | GEORGIA BOARD OF PHARMACY | PHRE010656 | 01 |
| Other Name | Type Code |
|---|---|
| Gordon's Hometown Pharmacy | Doing Business As Name - Organization |
| Southern Hometown Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386205524 | Quinate Pharmacy LLC | Pharmacy | 1569 Ga Highway 21 S, Springfield, GA 31329-5214 | 2019-06-27 |
| 1427518745 | Quinate Pharmacy LLC | Pharmacy | 1557 Pooler Pkwy, Suite 400, Pooler, GA 31322 | 2019-03-22 |
| Street Address |
546 W BACON ST |
| City | PEMBROKE |
| State | GA |
| Zip Code | 31321-4648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790311785 | Candace Lane Altman | Pharmacist | 546 W Bacon St, Pembroke, GA 31321-4648 | 2020-03-21 |
| 1477022887 | Brian David Mitchem | Pharmacist | 546 W Bacon St, Pembroke, GA 31321-4648 | 2018-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679198410 | Lorri Michelle Strickland | Counselor | 1040 Us Hwy 280 W, Pembroke, GA 31321 | 2020-06-08 |
| 1649830001 | Jennifer Creek Poston | Physical Medicine & Rehabilitation | 105 East Bacon Street, Pembroke, GA 31321 | 2019-06-18 |
| 1790289544 | Effingham Rehab Services, LLC | Clinic/Center | 105 E Bacon St, Pembroke, GA 31321 | 2018-03-19 |
| 1356539894 | Kristen Altman | Physical Therapist | 205 East Bacon Steet, Pembroke, GA 31321 | 2007-10-10 |
| 1366573297 | Malken Pharm Services Inc | Pharmacy | 137 E. Bacon St, Pembroke, GA 31321 | 2007-03-09 |
| 1184753709 | Gateway Behavioral Health Services | Community/Behavioral Health | 40 E Industrial Blvd, Pembroke, GA 31321 | 2007-03-02 |
| 1972611663 | Bryan County Emergency Medical Service | Ambulance | 116 Lanier Street, Pembroke, GA 31321 | 2006-08-25 |
| 1154349850 | Saint Josephs Medical Group Inc | Family Medicine | 159 West Railroad St, Pembroke, GA 31321 | 2006-07-18 |
| 1003265836 | Harley Hendrix | Family Medicine | 159 W. Railroad Street, Pembroke, GA 31321 | 2016-06-13 |
| 1760886402 | Sharon Estill | Registered Nurse | 430 Ledford Street, Pembroke, GA 31321 | 2014-10-09 |
| Find all providers in zip 31321 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851881478 | Carter Pharmacy LLC | Pharmacy | 78 Three Hunts Dr Bldg 5, Pembroke, NC 28372-8998 | 2018-05-18 |
| 1821535816 | Rowland Old Main Inc | Pharmacy | 407 W 3rd St, Pembroke, NC 28372-7977 | 2017-01-27 |
| 1568843688 | Rsb Faircloth Inc | Pharmacy | 812 Candy Park Rd, Pembroke, NC 28372-9129 | 2015-06-15 |
| 1366878571 | Robeson Health Care Corporation | Pharmacy | 307 E Wardell Dr, Pembroke, NC 28372 | 2013-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154922441 | Southern Pharmacy Group LLC | Pharmacy | 110 Allison St., Jesup, GA 31545 | 2020-11-04 |
| 1184225526 | Svdp Georgia Community Pharmacy LLC | Pharmacy | 2050 Chamblee Tucker Rd Ste C, Chamblee, GA 30341-3343 | 2020-11-03 |
| 1194325860 | Panola Pharmacy LLC | Pharmacy | 2348 Panola Rd Unit C, Lithonia, GA 30058-5406 | 2020-10-30 |
| 1659971539 | Bob and Jeff's Hometown Pharmacy of Thomasville, LLC | Pharmacy | 309 Smith Ave, Thomasville, GA 31792-5534 | 2020-10-29 |
| 1679171979 | Dfg LLC | Pharmacy | 638 Historic Hwy 441 Suite A, Demorest, GA 30530 | 2020-10-09 |
| 1033716915 | Au Medical Center, Inc. | Pharmacy | 818 Saint Sebastian Way Ste 402, Augusta, GA 30901-2654 | 2020-10-05 |
| 1043817208 | Mlk Pharmacy2.0 | Pharmacy | 2457 Mlk Jr Dr Sw Ste A, Atlanta, GA 30311-1712 | 2020-10-01 |
| 1508470964 | Swain Drug Company LLC | Pharmacy | 855 Bowens Mill Rd Sw Suite E, Douglas, GA 31533 | 2020-09-03 |
| 1205446341 | Sunny Pharmacy | Pharmacy | 5364 Jonesboro Rd, Lake City, GA 30260-3557 | 2020-08-04 |
| 1841818044 | Hospital Authority of Miller County | Pharmacy | 213 Delores Street, Colquitt, GA 39837 | 2020-07-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.