CASTLEBERRY DRUG COMPANY, LLC (NPI# 1497840821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497840821 |
| Entity Type | Organization |
| Organization Name | CASTLEBERRY DRUG COMPANY, LLC |
| Practice Address |
67 N. Lee St Forsyth GA 31029 |
| Mailing Address |
P.o. Box 188 Forsyth GA 31029 |
| Practice Telephone | 4789942051 |
| Practice Fax Number | 4789943014 |
| Mailing Telephone | 4789942051 |
| Mailing Fax Number | 4789943014 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2008-06-24 |
| Authorized Official Name | MR. JEP E CASTLEBERRY III (OWNER/PHARMACIST) |
| Authorized Official Telephone | 4789942051 |
| Authorized Official Credential | R.PH. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | PHRE000675 | GA | Pharmacy Service Providers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHRE000675 | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00022965A | 05 |
| Street Address |
67 N. LEE ST |
| City | FORSYTH |
| State | GA |
| Zip Code | 31029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699836833 | River Edge Behavioral Health Center | Community/Behavioral Health | 101 Willis Wilder Drive, Forsyth, GA 31029 | 2006-12-12 |
| 1437168853 | Mclendon Pt Services LLC | Physical Therapist | 320 Lee King Rd, Forsyth, GA 31029 | 2006-08-05 |
| 1831168905 | Patton P Smith | Family Medicine | 90-a Martin Luther King Jr Drive, Forsyth, GA 31029 | 2006-03-14 |
| 1124504782 | Kenneth Wayne Waddell Jr. | Nurse Practitioner | 120 N Lee St Ste A, Forsyth, GA 31029 | 2018-07-17 |
| 1790176865 | Speechworks 4 Kids, LLC | Speech-Language Pathologist | 215 Cresent Dr, Forsyth, GA 31029 | 2015-02-11 |
| 1316988645 | Sarah Elizabeth Conklin | Nurse Practitioner | 90-a Martin Luther King Jr. Drive, Forsyth, GA 31029-0000 | 2006-06-09 |
| 1801981592 | Craig Caldwell | Internal Medicine | 97 Martin Luther King Jr Dr, Forsyth, GA 31029-1648 | 2006-10-04 |
| 1518079326 | Bio-medical Applications of Georgia, Inc. | Clinic/Center | 91 Martin Luther King Jr Dr, Forsyth, GA 31029-1648 | 2006-08-31 |
| 1427160191 | Tammy Lynn Barnett | Nurse Practitioner | 97 Martin Luther King Jr. Dr., Forsyth, GA 31029-1648 | 2006-08-31 |
| 1043696172 | Elizabeth Goodwin | Nurse Practitioner | 97 Martin Luther King Jr Dr, Forsyth, GA 31029-1648 | 2015-07-30 |
| Find all providers in zip 31029 | ||||
| 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] |
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|---|---|---|---|---|
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| 1164525986 | Georgia Cvs Pharmacy LLC | Pharmacy | 430 Tift College Dr, Forsyth, GA 31029-2315 | 2006-09-07 |
| 1043561392 | Cb Pharmacy Inc | Pharmacy | 67 N Lee St, Forsyth, GA 31029-2133 | 2012-09-26 |
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| 1508470964 | Swain Drug Company LLC | Pharmacy | 855 Bowens Mill Rd Sw Suite E, Douglas, GA 31533 | 2020-09-03 |
| 1205446341 | Sunny Pharmacy | Pharmacy | 5364 Jonesboro Rd, Lake City, GA 30260-3557 | 2020-08-04 |
| 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.