STATHAM CITY PHARMACY LLC (NPI# 1639530868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639530868 |
| Entity Type | Organization |
| Organization Name | STATHAM CITY PHARMACY LLC |
| Other Organization Name | STATHAM CITY PHARMACY |
| Practice Address |
333 Jefferson St Statham GA 30666 |
| Mailing Address |
333 Jefferson St Po Box 102 Statham GA 30666-1710 |
| Practice Telephone | 6787267416 |
| Practice Fax Number | 6787267541 |
| Mailing Telephone | 6787267416 |
| Mailing Fax Number | 6787267541 |
| Enumeration Date | 2016-03-16 |
| Last Update Date | 2019-08-07 |
| Authorized Official Name | MICHAEL FRANKEL (OWNER) |
| Authorized Official Telephone | 6787267416 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHRE010639 | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2158631 | 01 | |
| GA | 003143308A | 05 |
| Other Name | Type Code |
|---|---|
| Statham City Pharmacy | Doing Business As Name - Organization |
| Street Address |
333 JEFFERSON ST |
| City | STATHAM |
| State | GA |
| Zip Code | 30666 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164844296 | Statham City Pharmacy | Pharmacy | 333 Jefferson St, Statham, GA 30666-1710 | 2014-01-08 |
| 1770522674 | Barrow-statham Pharmacy | Pharmacist | 333 Jefferson St, Statham, GA 30666-1710 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689857195 | Statham Family Practice PC | Family Medicine | 1906 Railroad St, Suite C, Statham, GA 30666 | 2007-12-07 |
| 1447442959 | Statham Medical Clinic | General Practice | 337 Jefferson St., Statham, GA 30666 | 2007-08-17 |
| 1487703245 | Felipe Reyes Musngi | Family Medicine | 337 Jefferson Street, Statham, GA 30666 | 2007-01-10 |
| 1962402461 | Steven Alan Durocher | Emergency Medicine | 1906 Railroad Street, Ste C, Statham Family Practice, PC, Statham, GA 30666 | 2005-07-26 |
| 1356792337 | Matthew Fitzpatrick | Pharmacist | 1860 High Green Dr, Statham, GA 30666-1673 | 2016-06-30 |
| 1295393643 | Tina K Williams | Behavior Technician | 189 Village Pass, Statham, GA 30666-1713 | 2019-05-31 |
| 1841504511 | Melindas Guardian Angel Personal Care Home | Community Based Residential Treatment Facility, Mental Illness | 593 Eighth St, Statham, GA 30666-1830 | 2010-08-04 |
| 1760511943 | David R. Epps | Pharmacist | 1918 Railroad St, Statham, GA 30666-1875 | 2007-03-05 |
| 1164739918 | Robert Ervin Everett Jr. | Pharmacist | 1918 Railroad St, Statham, GA 30666-1875 | 2010-08-31 |
| 1356877450 | Stevie Whisnant | Home Health | 513 Thurmond Cir, Statham, GA 30666-1922 | 2017-05-10 |
| Find all providers in zip 30666 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164844296 | Statham City Pharmacy | Pharmacy | 333 Jefferson St, Statham, GA 30666-1710 | 2014-01-08 |
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| 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.