FAIRYLAND PHARMACY INC (NPI# 1245691534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245691534 |
| Entity Type | Organization |
| Organization Name | FAIRYLAND PHARMACY INC |
| Practice Address |
100 Mcfarland Rd Lookout Mtn GA 30750-3121 |
| Practice Telephone | 7068201627 |
| Practice Fax Number | 7068201164 |
| Mailing Telephone | 7068201627 |
| Mailing Fax Number | 7068201164 |
| Enumeration Date | 2016-03-14 |
| Last Update Date | 2016-03-14 |
| Authorized Official Name | MR. ALAN MITCHELL VOGES JR. (OWNER) |
| Authorized Official Telephone | 7068201627 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | PHRE002347 | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 898077716A | 05 |
| Street Address |
100 MCFARLAND RD |
| City | LOOKOUT MTN |
| State | GA |
| Zip Code | 30750-3121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508919788 | Alan Mitchell Voges Jr. | Pharmacist | 100 Mcfarland Rd, Lookout Mtn, GA 30750 | 2007-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699165886 | Laura Ellen Robinson | Pharmacist | 112 Crimson Dr., Trenton, GA 30750 | 2015-01-27 |
| 1699171595 | Kayla Rogers Stout | Speech-Language Pathologist | 37 Brock Dr, Lookout Mountain, GA 30750-2207 | 2014-11-05 |
| 1114573136 | Cara Richman | Speech-Language Pathologist | 37 Brock Dr, Lookout Mountain, GA 30750-2207 | 2019-08-15 |
| 1407012099 | Joseph Martin Haskins | Anesthesiology | 165 Gnome Trl, Lookout Mtn, GA 30750-2836 | 2008-08-03 |
| 1487809992 | David Conrad Baker | Counselor | 1267 Mount Olive Rd, Lookout Mountain, GA 30750-2930 | 2008-11-25 |
| 1366862229 | Richard May | Family Medicine | 101 Mcfarland Rd, Lookout Mountain, GA 30750-3121 | 2014-04-18 |
| 1679771604 | Devony A Webster Hitt | Physician Assistant | 101 Mcfarland Rd, Lookout Mountain, GA 30750-3122 | 2007-07-11 |
| 1770988727 | Megan England | Nurse Practitioner | 101 Mcfarland Rd, Lookout Mountain, GA 30750-3122 | 2014-11-01 |
| 1841696820 | Jonathan Clark | Specialist/Technologist | 14049 Scenic Hwy, Lookout Mountain, GA 30750-4100 | 2014-11-18 |
| 1235536285 | Timothy Zinke | Specialist/Technologist | 14049 Scenic Hwy, Lookout Mountain, GA 30750-4100 | 2014-11-19 |
| Find all providers in zip 30750 | ||||
| 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 |
|---|---|---|---|---|
| 1922607662 | H & W Pharmacy | Pharmacy | 4091 Redan Rd Ste C, Stone Mountain, GA 30083-4767 | 2020-10-23 |
| 1720603756 | Medical-pharmacy Associates of Georgia, LLC | Pharmacy | 1425 Georgia Ave Ste 1, Macon, GA 31201-6546 | 2020-06-16 |
| 1700419454 | Janus Rx | Pharmacy | 836 E 65th St Ste 42, Savannah, GA 31405-4496 | 2020-02-20 |
| 1295373702 | Downtown Pharmacy LLC | Pharmacy | 236 Forsyth St Sw Ste 202b, Atlanta, GA 30303-3786 | 2019-12-16 |
| 1750928719 | Goodscript, Inc. | Pharmacy | 3115 Roswell Rd Ste 205, Marietta, GA 30062-7611 | 2019-12-09 |
| 1942844741 | Genoa Healthcare, LLC | Pharmacy | 400 Technology Ct Se Ste J, Room P, Smyrna, GA 30082-5237 | 2019-11-05 |
| 1225670995 | Allcare Pharmacy, LLC | Pharmacy | 1004 S Tennille Ave, Donalsonville, GA 39845 | 2019-10-14 |
| 1417598327 | Connect Care Pharmacy, LLC | Pharmacy | 2191 Hwy 247 Connector, Byron, GA 31008-5531 | 2019-10-02 |
| 1467003467 | Selamawit Dejene | Pharmacy | 464 Bishop St Nw Apt 336, Atlanta, GA 30318-5384 | 2019-09-23 |
| 1902454721 | Batts Drug Company Mansfield, LLC | Pharmacy | 4424 Highway 213, Mansfield, GA 30055-3211 | 2019-08-27 |
| Find all providers with the same taxonomy | ||||
| City | LOOKOUT MTN |
| Zip Code | 30750 |
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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.