SELF-MED RX CLAYTON DRUG INC (NPI# 1285722710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285722710 |
| Entity Type | Organization |
| Organization Name | SELF-MED RX CLAYTON DRUG INC |
| Other Organization Name | CLAYTON PHARMACY |
| Practice Address |
100 S Main St Clayton GA 30525-5480 |
| Mailing Address |
Po Box 686 C/o Sef Med Rx Clayton GA 30525 |
| Practice Telephone | 7067823211 |
| Practice Fax Number | 7067820705 |
| Mailing Telephone | 7067823211 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2016-04-01 |
| Authorized Official Name | MIKE ADDINGTON (PIC) |
| Authorized Official Telephone | 7067823211 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHRE002710 | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00025033A | 05 | |
| PK | 2012111 | 01 |
| Other Name | Type Code |
|---|---|
| CLAYTON PHARMACY | Doing Business As Name - Organization |
| Street Address |
100 S MAIN ST |
| City | CLAYTON |
| State | GA |
| Zip Code | 30525-5480 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528605839 | Charlotte Hart Fandrich | Massage Therapist | 1048 Old Highway 441 North, Clayton, GA 30525 | 2019-12-05 |
| 1922577147 | Suzanne A Frederickson | Speech-Language Pathologist | Highlands Internal Medicine, PC, 156 North Main St, Clayton, GA 30525 | 2018-11-16 |
| 1427562750 | Second Nature Blue Ridge, LLC | Psychiatric Residential Treatment Facility | 236 File St., Clayton, GA 30525 | 2017-11-22 |
| 1053854752 | Haley Vaughan Stapleton | Nurse Practitioner | 596 Mountain City Road, Clayton, GA 30525 | 2016-11-29 |
| 1154870533 | Life Point Medical, LLC | Clinic/Center | 189 Bo James Street, Suite 105, Clayton, GA 30525 | 2016-09-27 |
| 1316239122 | Jason A Bonner | Pharmacist | 1455 U.S. 441, Clayton, GA 30525 | 2011-05-11 |
| 1477842557 | Clayton Therapy Center, LLC | Marriage & Family Therapist | 24 Chechero St, Suite 2, Clayton, GA 30525 | 2011-03-29 |
| 1891959672 | Adams Hearing Aid Specialists | Hearing Instrument Specialist | 91 E Savannah Place, Clayton, GA 30525 | 2008-07-11 |
| 1578721494 | Lawrence M Gillespie | Dentist | 436 Warwoman Road, Clayton, GA 30525 | 2008-05-28 |
| 1336262112 | Clayton Family Eye Care PC | Optometrist | 50 Earl St., Suite A, Clayton, GA 30525 | 2007-04-09 |
| Find all providers in zip 30525 | ||||
| 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 |
|---|---|---|---|---|
| 1356891162 | Medical West Respiratory Pharmacy, LLC | Pharmacy | 440 South Brentwood Blvd, Clayton, MO 63105 | 2016-10-05 |
| 1932657350 | Clayton Pharmacy LLC | Pharmacy | 23 Court Sq, Clayton, AL 36016 | 2016-09-14 |
| 1841607223 | Beddingfield Drugs LLC | Pharmacy | 95 Springbrook Avenue, Suite 101, Clayton, NC 27520 | 2014-07-17 |
| 1538591722 | Harris Teeter, LLC. | Pharmacy | 67 Flowers Crossroads Way, Clayton, NC 27527 | 2013-07-30 |
| 1679724405 | Ingles Markets Inc | Pharmacy | 176 Highway 441 N, Clayton, GA 30525-4207 | 2008-10-10 |
| 1235322009 | Longs Drug Stores California, LLC | Pharmacy | 6490 Clayton Rd, Clayton, CA 94517 | 2007-08-24 |
| 1467590059 | For Love & Money, Inc | Pharmacy | 30 N Central Ave, Clayton, MO 63105-3813 | 2007-02-03 |
| 1043377633 | Pratts Station, LLC | Pharmacy | 23 Court Square, Clayton, AL 36016-0220 | 2007-01-02 |
| 1629172390 | North Carolina Cvs Pharmacy, L.L.C. | Pharmacy | 11911 Us Highway 70 W, Clayton, NC 27520-2144 | 2006-09-12 |
| 1609979434 | Georgia Cvs Pharmacy LLC | Pharmacy | 308 South Us Hwy 441, Clayton, GA 30525 | 2006-09-07 |
| Find all providers in CLAYTON | ||||
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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.