GORDON DRUGS, INC. (NPI# 1184718942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184718942 |
| Entity Type | Organization |
| Organization Name | GORDON DRUGS, INC. |
| Other Organization Name | GORDON DRUG COMPANY |
| Practice Address |
240 Milledgeville Road Gordon GA 31031 |
| Mailing Address |
Po Box 249 Gordon GA 31031-0249 |
| Practice Telephone | 4786282425 |
| Practice Fax Number | 4786282263 |
| Mailing Telephone | 4786282425 |
| Mailing Fax Number | 4786282263 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2010-01-28 |
| Authorized Official Name | CARL LAKE STANLEY JR. (PRESIDENT) |
| Authorized Official Telephone | 4786282425 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHRE005143 | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00144196A | 05 | |
| GA | 00144196B | 05 |
| Other Name | Type Code |
|---|---|
| Gordon Drug Company | Doing Business As Name - Organization |
| Street Address |
240 MILLEDGEVILLE ROAD |
| City | GORDON |
| State | GA |
| Zip Code | 31031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568529139 | Wilkinson Service Center | Day Training, Developmentally Disabled Services | 113 Solomon St, Gordon, GA 31031-0069 | 2007-01-03 |
| 1720133960 | Dennis R. Smith Dds, Inc. | Dentist | 106 College Street, 106 College Street, Gordon, GA 31031-0326 | 2007-01-25 |
| 1124173356 | Dennis Rayvon Smith | Dentist | 106 College Street, Gordon, GA 31031-0326 | 2007-01-25 |
| 1699872911 | Cyler Duggan Garner | Legal Medicine | 200 Pine St, Gordon, GA 31031-0357 | 2006-09-20 |
| 1750644902 | Lisa Marie Mcintyre | Counselor | 198 Union Hill Church Rd, Gordon, GA 31031-2134 | 2012-06-22 |
| 1487281572 | Jamia A Reese | Speech-Language Pathologist | 136 Burney Rd, Gordon, GA 31031-2501 | 2020-03-26 |
| 1043842073 | Jerry Reese Jr. | Specialist/Technologist | 218 Elam St, Gordon, GA 31031-2502 | 2020-02-07 |
| 1174819619 | Prn Nursing and Alternative Living Family Care Solutions | Assisted Living Facility | 115 Lakeshore Dr S, Ivey, GA 31031-3537 | 2011-06-23 |
| 1861763195 | Falcon Crest Manor, LLC | Assisted Living Facility | 111 Epps St, Gordon, GA 31031-3805 | 2012-01-18 |
| 1912340829 | Angus Lake Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 242 Milledgeville Hwy, Gordon, GA 31031-3827 | 2013-04-10 |
| Find all providers in zip 31031 | ||||
| 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 |
|---|---|---|---|---|
| 1275637787 | Angus Lake Healthcare, LLC | Pharmacy | 240 Milledgeville Hwy # A, Gordon, GA 31031-3827 | 2006-09-13 |
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| 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 |
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| 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.