SKIDAWAY VILLAGE PHARMACY INC (NPI# 1275083586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275083586 |
| Entity Type | Organization |
| Organization Name | SKIDAWAY VILLAGE PHARMACY INC |
| Other Organization Name | VILLAGE WALK PHARMACY LTC |
| Practice Address |
1 Skidaway Village Walk Savannah GA 31411-2908 |
| Practice Telephone | 9125988669 |
| Practice Fax Number | 9125987208 |
| Mailing Telephone | 9125988669 |
| Mailing Fax Number | 9125987208 |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2016-10-20 |
| Authorized Official Name | JASON CONLEY (PRESIDENT) |
| Authorized Official Telephone | 9125988669 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2164713 | 01 |
| Other Name | Type Code |
|---|---|
| VILLAGE WALK PHARMACY LTC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710022207 | Skidaway Village Pharmacy Inc | Pharmacy | 1 Skidaway Village Walk, Savannah, GA 31411-2908 | 2007-02-21 |
| Street Address |
1 SKIDAWAY VILLAGE WALK |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31411-2908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356417885 | Jason P Conley | Pharmacist | 1 Skidaway Village Walk, Savannah, GA 31411-2908 | 2006-11-27 |
| 1710022207 | Skidaway Village Pharmacy Inc | Pharmacy | 1 Skidaway Village Walk, Savannah, GA 31411-2908 | 2007-02-21 |
| 1093850521 | Susanne S Conley | Pharmacist | 1 Skidaway Village Walk, Savannah, GA 31411-2908 | 2007-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114245529 | Elizabeth Sue Neufeld | Internal Medicine | 1 Castlebrook Retreat, Savannah, GA 31411 | 2010-05-10 |
| 1063745479 | Loy Adam Hagan | Dentist | 5 Planters Lane, Savannah, GA 31411 | 2009-09-16 |
| 1124252226 | Frank Hoffman | Otolaryngology | 6 Boar's Nest Lane, Savannah, GA 31411 | 2009-05-05 |
| 1003903352 | John Joseph Ptacek | Radiology | 61 Hemingway Circle, Savannah, GA 31411 | 2006-10-06 |
| 1104234749 | Jennifer Clifton | Internal Medicine | 95 Skidaway Island Park Rd, Savannah, GA 31411 | 2014-07-28 |
| 1164642484 | Skidaway Health and Living Services, Inc. | Nursing Facility/Intermediate Care Facility | 95 Skidaway Island Park Rd, Savannah, GA 31411-1104 | 2007-04-27 |
| 1053882555 | Alexus Loper | Occupational Therapist | 95 Skidaway Island Park Rd, Savannah, GA 31411-1104 | 2018-12-09 |
| 1285080093 | Righthealth Clinic | Clinic/Center | 95 Skidaway Island Park Rd, Savannah, GA 31411-1104 | 2016-05-11 |
| 1588923676 | Catherine J Beltrami | Occupational Therapist | 95 Skidaway Island Park Rd, Savannah, GA 31411-1104 | 2012-05-09 |
| 1437485836 | Lisa Landers Clark | Counselor | 1 Waterford Ln, Savannah, GA 31411-1305 | 2009-10-20 |
| Find all providers in zip 31411 | ||||
| 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 |
|---|---|---|---|---|
| 1174616890 | Lo Cost Drug Company Inc | Pharmacy | 612 E 69th St, Savannah, GA 31405-4714 | 2006-10-02 |
| 1730174616 | Anne M Barr Enterprises, LLC | Pharmacy | 402 E Price Ave, Savannah, MO 64485-1742 | 2005-09-15 |
| 1720073174 | Rms Associates Inc | Pharmacy | 205 S 71 Hwy, Savannah, MO 64485 | 2005-09-13 |
| 1316447550 | Tmh Associates LLC | Pharmacy | 205 S 71 Hwy, Savannah, MO 64485 | 2018-02-14 |
| 1336647007 | Carroll Pharmacy | Pharmacy | 835 Pickwick St, Savannah, TN 38372-3006 | 2018-01-29 |
| 1487006961 | Lo Cost Drug Company Inc | Pharmacy | 612 E 69th St, Savannah, GA 31405-4714 | 2016-07-07 |
| 1033259924 | Hardin County General Hospital | Pharmacy | 935 Wayne Rd, Savannah, TN 38372-1937 | 2007-02-08 |
| 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 | ||||
Please comment or provide details below to improve the information on SKIDAWAY VILLAGE PHARMACY INC.
| 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.