WINNERSVILLE PHARMACY LLC (NPI# 1225431745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225431745 |
| Entity Type | Organization |
| Organization Name | WINNERSVILLE PHARMACY LLC |
| Other Organization Name | AMERIMED LONG-TERM CARE PACKAGING |
| Practice Address |
3782 Old Us Highway 41 N Suite B Valdosta GA 31602-6834 |
| Mailing Address |
Po Box 4824 Valdosta GA 31604-4824 |
| Practice Telephone | 2292490100 |
| Practice Fax Number | 2292539010 |
| Mailing Telephone | 2292530067 |
| Mailing Fax Number | 2292191588 |
| Enumeration Date | 2014-09-29 |
| Last Update Date | 2016-01-06 |
| Authorized Official Name | TROY ALLEN (GENERAL MANAGER) |
| Authorized Official Telephone | 2292530067 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHRE010063 | GA | Suppliers |
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2148607 | 01 |
| Other Name | Type Code |
|---|---|
| Amerimed Long-Term Care Packaging | Doing Business As Name - Organization |
| Street Address |
3782 OLD US HIGHWAY 41 N SUITE B |
| City | VALDOSTA |
| State | GA |
| Zip Code | 31602-6834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124100912 | First America Pharmacy Inc | Pharmacy | 3782 Old Us Highway 41 N, Suite B, Valdosta, GA 31602-6834 | 2006-10-20 |
| 1760884233 | Winnersville Pharmacy, LLC | Pharmacy | 3782 Old Us Highway 41 N, Suite C, Valdosta, GA 31602-6834 | 2014-09-16 |
| 1609210202 | Winnersville Long Term Care Packaging | Pharmacy | 3782 Old Us Highway 41 N, Suite B, Valdosta, GA 31602-6834 | 2013-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477198117 | Amber Michele Baugh | Behavior Technician | 2236 Bemiss Road, Valdosta, GA 31602 | 2019-11-15 |
| 1528611365 | Nishaben T. Patel | Nurse Practitioner | 3120 North Oak Street Extension, Suite B, Valdosta, GA 31602 | 2019-07-22 |
| 1427615871 | Blair Elizabeth Tomlinson | Nurse Practitioner | 2124 Lakeshore Drive, Valdosta, GA 31602 | 2019-05-21 |
| 1346704152 | Mildred Itaska Borowski | Counselor | 3790 North Highway 41, Suite A, Valdosta, GA 31602 | 2019-01-25 |
| 1962991703 | Southern Healthcare Alliance, LLC | Physical Medicine & Rehabilitation | 101-f W. Northside Drive, Valdosta, GA 31602 | 2018-05-08 |
| 1336636646 | Kaitlyn Thrift | Behavioral Analyst | 2225 Bemiss Road Suite D, Valdosta, GA 31602 | 2018-04-23 |
| 1407379845 | Lindsey Marie Richardson | Dentist | 103 W. Cranford Ave, Valdosta, GA 31602 | 2017-07-18 |
| 1962922427 | Taylor Nicole Fiveash | Nurse Practitioner | 101 W Northisde Dr, Bldg G, Valdosta, GA 31602 | 2017-06-26 |
| 1720520646 | Southern Sleepers Anesthesia LLC | Nurse Anesthetist, Certified Registered | 4120-b N. Valdosta Road, Valdosta, GA 31602 | 2016-11-09 |
| 1134670557 | Cataract and Laser Surgery Center of South Georgia, P.C. | Clinic/Center | 4120-b N. Valdosta Rd., Valdosta, GA 31602 | 2016-10-20 |
| Find all providers in zip 31602 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| 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 |
|---|---|---|---|---|
| 1881984557 | Pharmacy Alternatives, LLC | Pharmacy | 1705 River St, Valdosta, GA 31601-5163 | 2011-04-14 |
| 1609823061 | Pruitthealth Pharmacy Services - Valdosta, Inc. | Pharmacy | 1711 River St, Valdosta, GA 31601-5163 | 2006-05-30 |
| 1851903470 | K & D Pharmacy | Pharmacy | 19664 Valdosta Hwy Ste A, Valdosta, GA 31602-8344 | 2020-08-17 |
| 1508298753 | Armor Drugs LLC | Pharmacy | 2704 N Oak St Bldg B1, Valdosta, GA 31602 | 2013-07-30 |
| 1891842944 | Armor Drugs LLC | Pharmacy | 2704 N Oak St, Ste B1, Valdosta, GA 31602-1744 | 2007-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942800271 | Macs Ltc Pharmacy Georgia LLC | Pharmacy | 1351 Oakbrook Dr Ste 110, Norcross, GA 30093-2242 | 2020-10-27 |
| 1295347516 | Kayton Pharmacy LLC | Pharmacy | 541 Forest Pkwy Ste 4, Forest Park, GA 30297-2147 | 2020-08-18 |
| 1205479771 | Welltree Pharmacy LLC | Pharmacy | 5009 Roswell Rd Ste 210, Atlanta, GA 30342-2205 | 2019-10-28 |
| 1346882735 | Mortar and Pestle, LLC | Pharmacy | 300 Mooty Bridge Rd, Lagrange, GA 30240-1881 | 2019-10-17 |
| 1134685241 | Mgp Rx, LLC | Pharmacy | 1951 Canton Rd Ste 290, Marietta, GA 30066-6300 | 2019-02-13 |
| 1326553090 | West Georgia Home Medical Equipment Co Inc | Pharmacy | 1861 Roanoke Rd Ste A, Lagrange, GA 30240-3850 | 2017-12-04 |
| 1295278166 | Prestige Pharmacy Snellville LLC | Pharmacy | 1551 Janmar Rd, Suite B, Snellville, GA 30078-5606 | 2016-11-28 |
| 1609327089 | Butler Long Term Care Solutions | Pharmacy | 10 B North Poplar St, Butler, GA 31006 | 2016-10-20 |
| 1285180711 | Vn Pharmacy LLC | Pharmacy | 5000 Buford Hwy, Suite A-106, Atlanta, GA 30341-3500 | 2016-08-25 |
| 1871953406 | South Georgia Pharmacy Services Inc | Pharmacy | 720 W Central Ave Ste 1, Moultrie, GA 31768-3560 | 2016-02-24 |
| 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.