MORTAR & PESTLE, LLC (NPI# 1174980262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174980262 |
Entity Type | Organization |
Organization Name | MORTAR & PESTLE, LLC |
Other Organization Name | THE MEDICINE CABINET |
Practice Address |
1194 Warm Springs Hwy Manchester GA 31816 |
Practice Telephone | 7068462002 |
Practice Fax Number | 7068462161 |
Mailing Telephone | 7068462002 |
Mailing Fax Number | 7068462161 |
Enumeration Date | 2016-01-21 |
Last Update Date | 2020-06-11 |
Authorized Official Name | RYAN MEEKS (OWNER) |
Authorized Official Telephone | 7062982714 |
Is Organization Subpart | Y |
Parent Organization Name | MORTAR AND PESTLE, LLC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
Y | 333600000X | Pharmacy | PHRE010202 | GA | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PK | 2155789 | 01 | |
GA | 000453384A | 05 |
Other Name | Type Code |
---|---|
The Medicine Cabinet | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629418793 | Mortar & Pestle, LLC | Pharmacy | 205 Vernon Street, Lagrange, GA 30240 | 2013-07-03 |
Street Address |
1194 WARM SPRINGS HWY |
City | MANCHESTER |
State | GA |
Zip Code | 31816 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750419446 | Beckhams Hhc Pharmacy Inc | Pharmacist | 1194 Warm Springs Hwy, Manchester, GA 31816-1166 | 2007-03-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184987935 | Clyde Copeland | Driver | 5465 Scenic Hts, Manchester, GA 31816 | 2012-06-18 |
1417129081 | Fuller Life Chiropractic Center PC | Chiropractor | 23 East Main St, Manchester, GA 31816 | 2008-03-24 |
1861694374 | Richard L Ousley Dds PC | Dentist | 404 West Perry Street, Manchester, GA 31816 | 2007-06-05 |
1558424093 | Fuller Life Chiropractic Center | Chiropractor | 23 East Main Street, Manchester, GA 31816 | 2006-12-18 |
1942616008 | Candice Renee Gaultney | Massage Therapist | 102 W 2nd St, Manchester, GA 31816 | 2014-07-09 |
1942586607 | Fuller Life Solutions | Chiropractor | 23 E Main St, Manchester, GA 31816 | 2011-10-26 |
1326006222 | Clemson Sports Medicine and Rehabilitation, Inc | Clinic/Center | 1140 Warm Springs Hwy, Manchester, GA 31816-1166 | 2006-05-02 |
1942296017 | Allan William Moore | Optometrist | 1180 Warm Springs Hwy, Manchester, GA 31816-1166 | 2005-09-23 |
1609196278 | Patricia Ann Tribble | Specialist | 1140 Warm Springs Hwy, Manchester, GA 31816-1166 | 2010-06-07 |
1891817177 | Moore Eye Care | Optometrist | 1180 Warm Springs Hwy, Manchester, GA 31816-1166 | 2007-04-06 |
Find all providers in zip 31816 |
Taxonomy Code | 333600000X |
Grouping | Suppliers |
Classification | Pharmacy |
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
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: added definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144728452 | Genoa Healthcare, LLC | Pharmacy | 2 Wall St Ste 102, Manchester, NH 03101-1518 | 2018-02-01 |
1861581498 | Big Y Foods Inc | Pharmacy | 234 Tolland Tpke, Manchester, CT 06040-1744 | 2006-10-12 |
1477668259 | Perlmart of Manchester Township Inc | Pharmacy | 1001 Route 70, Manchester, NJ 08759 | 2006-08-20 |
1346353976 | Kens Pharmacy Inc. | Pharmacy | 36 Elm St, Manchester, NH 03101-2724 | 2006-08-17 |
1578578175 | Westown Pharmacy Inc | Pharmacy | 455 Hartford Rd, Manchester, CT 06040-5729 | 2006-07-30 |
1841212966 | Kallenbach Drug Inc | Pharmacy | 111 S Franklin St, Manchester, IA 52057 | 2006-07-25 |
1164450128 | Freds Stores of Tennessee Inc | Pharmacy | 1105 Warm Springs Hwy, Manchester, GA 31816-1167 | 2006-06-29 |
1275537730 | Manchester Pharmacy Inc | Pharmacy | 3321 Main St, Unit A1, Manchester, MD 21102-1790 | 2005-06-11 |
1487128450 | Grace Community Health Center Inc | Pharmacy | 85 Highway 80, Manchester, KY 40962-8801 | 2019-01-14 |
1093205346 | Southland Pharmacy LLC | Pharmacy | 482 Interstate Dr Ste K, Manchester, TN 37355 | 2018-05-12 |
Find all providers in MANCHESTER |
City | MANCHESTER |
Zip Code | 31816 |
Please comment or provide details below to improve the information on MORTAR & PESTLE, LLC.
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.