MORTAR AND PESTLE, LLC (NPI# 1710490891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710490891 |
| Entity Type | Organization |
| Organization Name | MORTAR AND PESTLE, LLC |
| Other Organization Name | THE MEDICINE CABINET |
| Practice Address |
1704 Roanoke Rd Lagrange GA 30240-3803 |
| Mailing Address |
300 Mooty Bridge Rd Ste 208 Lagrange GA 30240-1881 |
| Practice Telephone | 7062984935 |
| Practice Fax Number | 7062984934 |
| Mailing Telephone | 7062984935 |
| Enumeration Date | 2017-11-10 |
| Last Update Date | 2020-07-15 |
| Authorized Official Name | RYAN MEEKS (OWNER) |
| Authorized Official Telephone | 7062982714 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHRE010403 | GA | Suppliers |
| Other Name | Type Code |
|---|---|
| The Medicine Cabinet | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346882735 | Mortar and Pestle, LLC | Pharmacy | 300 Mooty Bridge Rd, Lagrange, GA 30240-1881 | 2019-10-17 |
| 1720333743 | Mortar and Pestle, LLC | Pharmacy | 300 Mooty Bridge Road, Lagrange, GA 30240 | 2012-07-16 |
| 1093755423 | Mortar and Pestle, LLC | Pharmacy | 113 N Columbia Ave, Lawrenceburg, TN 38464-3353 | 2006-06-07 |
| 1295388981 | Mortar and Pestle, LLC | Pharmacy | 1109 Highway 19 N, Thomaston, GA 30286-2207 | 2019-07-22 |
| Street Address |
1704 ROANOKE RD |
| City | LAGRANGE |
| State | GA |
| Zip Code | 30240-3803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023519634 | Thomas H Whitworth | Pharmacist | 1704 Roanoke Rd, Lagrange, GA 30240-3803 | 2018-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598223844 | Urgencare, LLC | Clinic/Center | 2169 West Point Road, Suite 105, Lagrange, GA 30240 | 2019-03-06 |
| 1679075527 | Georgia Pain and Spine Care, Inc | Pain Medicine | 303 Smith St Fl 2, Lagrange, GA 30240 | 2018-03-07 |
| 1629463500 | Quoc Vinh Ngo | Emergency Medicine | Wellstar West Georgia Medical Center, 1504 Vernon Road, Lagrange, GA 30240 | 2015-03-30 |
| 1770913964 | Dell H Lawson | Counselor | 300 Medical Dr. Ste 705., Lagrange, GA 30240 | 2013-11-25 |
| 1629418793 | Mortar & Pestle, LLC | Pharmacy | 205 Vernon Street, Lagrange, GA 30240 | 2013-07-03 |
| 1336582329 | Weredeselam Menna Olango | Psychiatry & Neurology | 303 Medical Dr Ste 401, Lagrange, GA 30240 | 2013-04-10 |
| 1720333743 | Mortar and Pestle, LLC | Pharmacy | 300 Mooty Bridge Road, Lagrange, GA 30240 | 2012-07-16 |
| 1366768459 | Karin Taylor | Physical Medicine & Rehabilitation | 1600 Vernon Rd Ste A, Lagrange, GA 30240 | 2010-04-14 |
| 1871819458 | Kathryn J Hill | Counselor | 100 Smith St Ste 1, Lagrange, GA 30240 | 2010-04-08 |
| 1285802751 | Air Evac Ems, Inc. | Ambulance | 455 Aerotron Pkwy, Lagrange, GA 30240 | 2008-02-18 |
| Find all providers in zip 30240 | ||||
| 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 |
|---|---|---|---|---|
| 1568565265 | Hook Superx LLC | Pharmacy | 975n Ooew, Lagrange, IN 46761 | 2006-09-07 |
| 1396764213 | Corley & Mcclendon, Inc. | Pharmacy | 18 New Airport Road, Lagrange, GA 30240 | 2006-07-19 |
| 1205855129 | Corley & Mcclendon, Inc | Pharmacy | 820 North Greenwood Street, Lagrange, GA 30240 | 2006-07-19 |
| 1770516973 | Corley & Mcclendon Inc. | Pharmacy | 523 South Greenwood Street, Lagrange, GA 30240 | 2006-07-09 |
| 1669654687 | Southeastern Pharmacueticals | Pharmacy | 229 Davis Road, Ste 900, Lagrange, GA 30241-2546 | 2007-11-30 |
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| 1679171979 | Dfg LLC | Pharmacy | 638 Historic Hwy 441 Suite A, Demorest, GA 30530 | 2020-10-09 |
| 1033716915 | Au Medical Center, Inc. | Pharmacy | 818 Saint Sebastian Way Ste 402, Augusta, GA 30901-2654 | 2020-10-05 |
| 1043817208 | Mlk Pharmacy2.0 | Pharmacy | 2457 Mlk Jr Dr Sw Ste A, Atlanta, GA 30311-1712 | 2020-10-01 |
| 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.