MALCOLMS DRUG STORE INC (NPI# 1447362223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447362223 |
| Entity Type | Organization |
| Organization Name | MALCOLMS DRUG STORE INC |
| Practice Address |
250 South Peterson Ave Malcolms Drug Store Inc Douglas GA 31533-5237 |
| Practice Telephone | 9123841989 |
| Practice Fax Number | 9123837109 |
| Mailing Telephone | 9123841989 |
| Mailing Fax Number | 9123837109 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. STANLEY SMITH (PHARMACIST/PRESIDENT) |
| Authorized Official Telephone | 9123841898 |
| Authorized Official Credential | RPL |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | PHRE007080 | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEMBER HEALTH MHRX | 1109277 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043372915 | Malcolms Drug Store Inc | Pharmacy | 250 Peterson Ave S, Douglas, GA 31533-5237 | 2006-12-15 |
| Street Address |
250 SOUTH PETERSON AVE MALCOLMS DRUG STORE INC |
| City | DOUGLAS |
| State | GA |
| Zip Code | 31533-5237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508470964 | Swain Drug Company LLC | Pharmacy | 855 Bowens Mill Rd Sw Suite E, Douglas, GA 31533 | 2020-09-03 |
| 1811528649 | Unison Behavioral Health | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 211 North Street, Douglas, GA 31533 | 2020-01-30 |
| 1952940793 | Teresa Smith | Pharmacist | 901 W Ward St, Douglas, GA 31533 | 2019-12-26 |
| 1447641048 | Jennifer Spivey | Nurse Practitioner | 326 Shirley Avenue, Douglas, GA 31533 | 2015-02-18 |
| 1972914497 | Jessica Lynne Courson | Nurse Practitioner | 903 West Ward Street, Suite B, Douglas, GA 31533 | 2014-05-19 |
| 1063840296 | South Central Primary Care Center | Clinic/Center | 303 Shirley Ave, Ste B, Douglas, GA 31533 | 2013-10-25 |
| 1336411008 | Unison Behavioral Health | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 118 Coweta Avenue South, Douglas, GA 31533 | 2012-01-27 |
| 1346482700 | V and V Clinic | Pediatrics | 1020 West Bryan Street, Douglas, GA 31533 | 2009-04-01 |
| 1063650406 | Jayla Snipes Bullock | Speech-Language Pathologist | 618 Bowens Mill Road Sw, Douglas, GA 31533 | 2009-01-22 |
| 1417112707 | Southern Community Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 315 S. Gaskin Ave, Douglas, GA 31533 | 2008-07-25 |
| Find all providers in zip 31533 | ||||
| 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 |
|---|---|---|---|---|
| 1366005936 | Chiricahua Community Health Centers, Inc. | Pharmacy | 1111 N F Ave, Douglas, AZ 85607-1918 | 2019-04-18 |
| 1578746558 | Mobleys Discount Pharmacy Inc | Pharmacy | 235 Ward St W, Douglas, GA 31533-3501 | 2007-12-12 |
| 1740384791 | Roy Powells Drug Store Inc | Pharmacy | 223 Ashley St W, Douglas, GA 31533-2349 | 2006-09-12 |
| 1538274550 | Bashas Inc | Pharmacy | 1300 N San Antonio Ave, Douglas, AZ 85607-2422 | 2006-08-20 |
| 1356370308 | Safeway Inc | Pharmacy | 90 Fifth St, Douglas, AZ 85607 | 2006-07-02 |
| 1851798532 | The Medicine Cabinet - Ward Street, LLC | Pharmacy | 235 Ward St W, Douglas, GA 31533-3501 | 2014-11-25 |
| 1629412812 | Hark Pharmaceutical, LLC | Pharmacy | 250 Peterson Ave S, Douglas, GA 31533-5237 | 2013-04-18 |
| 1679784680 | Coffee Regional Medical Center | Pharmacy | 1101 Ocilla Rd, Douglas, GA 31533-2207 | 2007-05-24 |
| 1700925500 | J M Bailey Pharmacy Inc | Pharmacy | 301 Shirley Ave, Douglas, GA 31533-2333 | 2007-02-06 |
| 1144375015 | Westside Drugs Inc | Pharmacy | 308 Westside Dr, Douglas, GA 31533-3530 | 2007-01-23 |
| Find all providers in DOUGLAS | ||||
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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.