LACEY DRUG COMPANY, INC (NPI# 1740677525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740677525 |
| Entity Type | Organization |
| Organization Name | LACEY DRUG COMPANY, INC |
| Other Organization Name | LACEY'S MEDICAL SUPPLY |
| Practice Address |
236 N Dixie Ave Cartersville GA 30120-2934 |
| Practice Telephone | 7703343558 |
| Practice Fax Number | 7703342208 |
| Mailing Telephone | 7703343558 |
| Mailing Fax Number | 7703342208 |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2015-04-20 |
| Authorized Official Name | MR. LARRY L BRADEN (PRESIDENT) |
| Authorized Official Telephone | 7709745234 |
| Is Organization Subpart | Y |
| Parent Organization Name | LACEY DRUG COMPANY, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| LACEY'S MEDICAL SUPPLY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831273747 | Lacey Drug Company, Inc | Durable Medical Equipment & Medical Supplies | 4797 S Main St, Acworth, GA 30101-5339 | 2006-10-25 |
| Street Address |
236 N DIXIE AVE |
| City | CARTERSVILLE |
| State | GA |
| Zip Code | 30120-2934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295357325 | Rhonda Ireland | Pharmacist | 125 Main Street Marketplace, Cartersville, GA 30120 | 2020-05-12 |
| 1538719273 | The Golden Ages Corporoation | Nursing Care | 41 Walden Crossing, Cartrsville, GA 30120 | 2019-09-15 |
| 1932752391 | Jennifer Elaine Mclaurin | Counselor | 911 N. Tennesse Street, Suite 107, Cartersville, GA 30120 | 2019-07-24 |
| 1164989497 | Kayla Elizabeth Hoskins | Occupational Therapist | 7 E Cherokee Ave, Cartersville, GA 30120 | 2019-02-22 |
| 1942785837 | Adriane L Alexander | Social Worker | 24 Meadowbridge Drive, Cartersville, GA 30120 | 2018-09-26 |
| 1306329362 | Ashley Elizabeth Deal | Nurse Practitioner | 958a Joe Frank Harris Parkway, Suite 101, Cartersville, GA 30120 | 2018-09-14 |
| 1376037606 | Samuel Gilreath Tumlin | Dentist | 701 N. Tennessee St., Cartersville, GA 30120 | 2018-06-20 |
| 1437669108 | Deborah Susan Luper | Counselor | 106 Forrest Avenue, A Healing Place, Cartersville, GA 30120 | 2017-10-06 |
| 1750810693 | Debbie Fearon | Registered Nurse | 523 Mountain Chase, Cartersville, GA 30120 | 2017-06-05 |
| 1023486388 | Amanda Stanley | Pharmacist | 1150 West Ave, Cartersville, GA 30120 | 2015-09-03 |
| Find all providers in zip 30120 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730634239 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 125 E Main St Se, Cartersville, GA 30121 | 2016-08-25 |
| 1972950293 | National Seating & Mobility, Inc. | Durable Medical Equipment & Medical Supplies | 15 Heatco Ct Sw Ste A, Cartersville, GA 30120-1804 | 2016-05-17 |
| 1396139945 | Ddsdream,llc | Durable Medical Equipment & Medical Supplies | 112 Merchants Square Dr, Cartersville, GA 30121-2258 | 2015-03-21 |
| 1962840967 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 101 N Tennessee St, Cartersville, GA 30120-3211 | 2013-06-12 |
| 1427388453 | Georgia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 965 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2130 | 2010-01-14 |
| 1518296318 | Georgia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1162 West Ave., Cartersville, GA 30120-6138 | 2009-12-08 |
| 1588842686 | North Ga Podiatric Medicine and Surgery | Durable Medical Equipment & Medical Supplies | 958a Joe Frank Harris Pkwy Se Ste 106, Cartersville, GA 30120-2129 | 2008-01-31 |
| 1619188968 | Eyeworks | Durable Medical Equipment & Medical Supplies | 837 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2462 | 2007-05-25 |
| 1295807923 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 17 Felton Pl Ste B, Cartersville, GA 30120-2153 | 2006-11-15 |
| 1689773855 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 419 East Main Street, Cartersville, GA 30121-3349 | 2006-09-22 |
| Find all providers in CARTERSVILLE | ||||
| City | CARTERSVILLE |
| Zip Code | 30120 |
Please comment or provide details below to improve the information on LACEY DRUG COMPANY, 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.