MOUNT VERNON DRUG COMPANY (NPI# 1194868539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194868539 |
| Entity Type | Organization |
| Organization Name | MOUNT VERNON DRUG COMPANY |
| Practice Address |
421 S Railroad Ave Mount Vernon GA 30445-0195 |
| Mailing Address |
Po Box 195 421 S Railroad Avenue Mount Vernon GA 30445-0195 |
| Practice Telephone | 9125832216 |
| Practice Fax Number | 9125832217 |
| Mailing Telephone | 9125832216 |
| Mailing Fax Number | 9125832217 |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2008-07-07 |
| Authorized Official Name | MR. EDWARD DARRELL SAMMONS (OWNER REGISTERED PHARMACIST) |
| Authorized Official Telephone | 9125832216 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 005037 | GA | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000032425A | 05 |
| Street Address |
421 S RAILROAD AVE |
| City | MOUNT VERNON |
| State | GA |
| Zip Code | 30445-0195 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396175345 | Allcare PC | Pharmacy | 115 Spring St, Mount Vernon, GA 30445 | 2013-11-12 |
| 1760750467 | Lower Oconee Community Hospital, Inc. | Family Medicine | 421 W Robinson Drive, Mount Vernon, GA 30445 | 2011-12-08 |
| 1982819124 | Duncan Mcrae House, Inc | Assisted Living Facility | 129 South Railroad Avenue, Mt. Vernon, GA 30445 | 2007-05-11 |
| 1972729580 | Meadows Regional Medical Center | Clinic/Center | 201 W. Sutton St., Mount Vernon, GA 30445 | 2007-04-18 |
| 1255409215 | County of Montgomery Health Department | Public Health or Welfare | 218 West Broad Street, Mt. Vernon, GA 30445 | 2006-11-30 |
| 1578633418 | Montgomery County Board of Education | Local Education Agency (LEA) | 403 Fulton St, Mount Vernon, GA 30445 | 2006-11-08 |
| 1497751077 | Montgomery Medical Equipment, Inc. | Pharmacy | 103 S Richardson St, Mount Vernon, GA 30445-2611 | 2005-06-28 |
| 1164547287 | Lower Oconee Community Hospital, Inc | Clinic/Center | 441 W Broad Street, Mount Vernon, GA 30445-2629 | 2007-03-20 |
| 1659741221 | Shonda Lafaye Madison | Counselor | 1110 N Minnie St, Mount Vernon, GA 30445-2716 | 2015-09-25 |
| 1609229475 | Tyhescia White-johnson | Counselor | 305 W Spring St, Post Office Box 172, Mount Vernon, GA 30445-2837 | 2016-07-18 |
| Find all providers in zip 30445 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780296509 | Jordan Lee Erickson | Pharmacist | 2109 E Broadway, Mount Vernon, WA 98274-4628 | 2020-08-21 |
| 1851920342 | Branda Truong | Pharmacist | 306 Texas Highway 37, Mount Vernon, TX 75457-3112 | 2020-04-06 |
| 1003449851 | Rachel Octavia Wylie | Pharmacist | 1226 Mulberry St, Mount Vernon, IN 47620-1358 | 2020-02-20 |
| 1689180184 | Samuel Cooke Ingraham IIi | Pharmacist | 618 E High St, Mount Vernon, OH 43050-2747 | 2017-12-19 |
| 1689120412 | Kendall Keith Kilbourne | Pharmacist | 410 Richmond, Mount Vernon, KY 40456-0796 | 2016-08-31 |
| 1336502996 | Timothy Lynn | Pharmacist | 3404 Broadway St, Mount Vernon, IL 62864-2267 | 2016-03-31 |
| 1548676323 | Tina Chang-yip | Pharmacist | 211 E Sandford Blvd, Mount Vernon, NY 10550-4623 | 2014-07-01 |
| 1477835114 | Sara Elizabeth Koebele | Pharmacist | 3001 Broadway St, Mount Vernon, IL 62864-2361 | 2011-09-19 |
| 1881976355 | Shimrote Ishaque | Pharmacist | 424 E. College Wa, Mount Vernon, WA 98273 | 2011-09-12 |
| 1144518143 | Hebat Allah Bakhach | Pharmacist | 242 E College Way, Mount Vernon, WA 98273-5432 | 2011-07-12 |
| Find all providers in MOUNT VERNON | ||||
| City | MOUNT VERNON |
| Zip Code | 30445 |
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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.