PRESBYTERIAN HOME PHARMACY INC (NPI# 1760528285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760528285 |
| Entity Type | Organization |
| Organization Name | PRESBYTERIAN HOME PHARMACY INC |
| Other Organization Name | PRESBYTERIAN HOME PHARMACY |
| Practice Address |
1901 W Screven St Quitman GA 31643-3913 |
| Mailing Address |
Po Box 407 Quitman GA 31643-0407 |
| Practice Telephone | 2292636130 |
| Practice Fax Number | 2292636169 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2015-01-20 |
| Authorized Official Name | ALEX PATTERSON (EXCTV DIR) |
| Authorized Official Telephone | 2292636101 |
| Authorized Official Credential | MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
PHRE005010 | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2017528 | 01 | |
| GA | 00142579B | 05 |
| Other Name | Type Code |
|---|---|
| PRESBYTERIAN HOME PHARMACY | Doing Business As Name - Organization |
| Street Address |
1901 W SCREVEN ST |
| City | QUITMAN |
| State | GA |
| Zip Code | 31643-3913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336139070 | Presbyterian Home, Quitman, Inc. | Skilled Nursing Facility | 1901 W Screven St, Quitman, GA 31643-3913 | 2005-10-25 |
| 1841842580 | Stacia Deakins | Physical Therapy Assistant | 1901 W Screven St, Quitman, GA 31643-3913 | 2019-07-12 |
| 1811553027 | Ryan Hudson | Physical Therapist | 1901 W Screven St, Quitman, GA 31643-3913 | 2019-05-13 |
| 1902368665 | Belinda Dale Tate | Occupational Therapy Assistant | 1901 W Screven St, Quitman, GA 31643-3913 | 2019-04-02 |
| 1821558511 | Amber Wise | Occupational Therapy Assistant | 1901 W Screven St, Quitman, GA 31643-3913 | 2019-03-20 |
| 1013475821 | Amy Beth Whitcombe Freeman | Occupational Therapy Assistant | 1901 W Screven St, Quitman, GA 31643-3913 | 2019-03-11 |
| 1619431764 | Jennifer H Hightower | Physical Therapist | 1901 W Screven St, Quitman, GA 31643-3913 | 2019-01-23 |
| 1528531878 | Michael William Harrell | Physical Therapy Assistant | 1901 W Screven St, Quitman, GA 31643-3913 | 2019-01-09 |
| 1891268306 | Chad Gerald Lionberger | Physical Therapist | 1901 W Screven St, Quitman, GA 31643-3913 | 2019-01-08 |
| 1063985000 | Dorian H. Jordan | Occupational Therapy Assistant | 1901 W Screven St, Quitman, GA 31643-3913 | 2019-01-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386168938 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1103 W Screven St, Quitman, GA 31643 | 2017-07-26 |
| 1245774025 | Shacora Travis | Contractor | 1200 Carney Road, Quitman, GA 31643 | 2016-12-13 |
| 1528358306 | Thomas Jackson Barrs | Pharmacist | 1103 West Screven St, Quitman, GA 31643 | 2011-04-13 |
| 1326356767 | Robert Eugene Jennings Jr. | Pharmacist | 510 Old Madison Rd, Quitman, GA 31643 | 2010-09-20 |
| 1275854515 | Marable's Heart-to-heart PCh Inc | Home Health | 83 Church Lane, Marable's Heart-to-heart Personal Care Home Inc., Quitman, GA 31643 | 2010-06-22 |
| 1871718577 | Mcleod-gaston Inc | Community/Behavioral Health | 102 N. Madison St., Quitman, GA 31643 | 2007-04-16 |
| 1598804197 | Debra M Seleska | Nurse Practitioner | 907 North Court Street, Quitman, GA 31643 | 2007-02-06 |
| 1184078537 | Brooks County Hospital | Radiology | 903 N Court St, Quitman, GA 31643 | 2016-04-21 |
| 1639523087 | Brooks County Hospital | Radiology | 903 N Court St, Quitman, GA 31643 | 2016-04-21 |
| 1538513981 | Brooks County Hospital | Radiology | 903 N Court St, Quitman, GA 31643 | 2016-04-21 |
| Find all providers in zip 31643 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| 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 |
|---|---|---|---|---|
| 1952933152 | Scott's Quitman Pharmacy, LLC | Pharmacy | 310 E Goode St, Ste E, Quitman, TX 75783 | 2020-02-06 |
| 1497212039 | K & D Pharmacy Inc | Pharmacy | 302 E Screven St, Quitman, GA 31643-2178 | 2019-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942800271 | Macs Ltc Pharmacy Georgia LLC | Pharmacy | 1351 Oakbrook Dr Ste 110, Norcross, GA 30093-2242 | 2020-10-27 |
| 1295347516 | Kayton Pharmacy LLC | Pharmacy | 541 Forest Pkwy Ste 4, Forest Park, GA 30297-2147 | 2020-08-18 |
| 1205479771 | Welltree Pharmacy LLC | Pharmacy | 5009 Roswell Rd Ste 210, Atlanta, GA 30342-2205 | 2019-10-28 |
| 1346882735 | Mortar and Pestle, LLC | Pharmacy | 300 Mooty Bridge Rd, Lagrange, GA 30240-1881 | 2019-10-17 |
| 1134685241 | Mgp Rx, LLC | Pharmacy | 1951 Canton Rd Ste 290, Marietta, GA 30066-6300 | 2019-02-13 |
| 1326553090 | West Georgia Home Medical Equipment Co Inc | Pharmacy | 1861 Roanoke Rd Ste A, Lagrange, GA 30240-3850 | 2017-12-04 |
| 1295278166 | Prestige Pharmacy Snellville LLC | Pharmacy | 1551 Janmar Rd, Suite B, Snellville, GA 30078-5606 | 2016-11-28 |
| 1609327089 | Butler Long Term Care Solutions | Pharmacy | 10 B North Poplar St, Butler, GA 31006 | 2016-10-20 |
| 1285180711 | Vn Pharmacy LLC | Pharmacy | 5000 Buford Hwy, Suite A-106, Atlanta, GA 30341-3500 | 2016-08-25 |
| 1871953406 | South Georgia Pharmacy Services Inc | Pharmacy | 720 W Central Ave Ste 1, Moultrie, GA 31768-3560 | 2016-02-24 |
| 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.