UNIONVILLE DISCOUNT PHARMACY INC (NPI# 1326110107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326110107 |
| Entity Type | Organization |
| Organization Name | UNIONVILLE DISCOUNT PHARMACY INC |
| Other Organization Name | MIKE'S MEDICAL PHARMACY |
| Practice Address |
1381 Pio Nono Ave Macon GA 31204-4633 |
| Practice Telephone | 4787462842 |
| Practice Fax Number | 4787468362 |
| Mailing Telephone | 4787421448 |
| Mailing Fax Number | 4787421428 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2009-09-01 |
| Authorized Official Name | MIKE ITEOGU (OWNER PHARMACIST) |
| Authorized Official Telephone | 4787421448 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | 6785 | GA | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | DEA # | BU0935758 | 01 |
| GA | 00345155A | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 1131907 | 01 |
| Other Name | Type Code |
|---|---|
| Mike's Medical Pharmacy | Doing Business As Name - Organization |
| Street Address |
1381 PIO NONO AVE |
| City | MACON |
| State | GA |
| Zip Code | 31204-4633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770183709 | Jeffery White | Technician/Technologist | 1381 Pio Nono Ave, Macon, GA 31204-4633 | 2020-10-28 |
| 1881964724 | James Loftin Wilson Jr. | Pharmacist | 1381 Pio Nono Ave, Macon, GA 31204-4633 | 2012-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942775085 | Amy Lynn Miller | Counselor | 890 Northwoods Plaza/burrus Road, Macon, GA 31204 | 2018-10-04 |
| 1275056566 | Kenyada Moss | Counselor | 762 Thurmond Dr., Macon, GA 31204 | 2017-07-19 |
| 1508303876 | Amber Foster | Counselor | 890 Northwoods Plaza, Macon, GA 31204 | 2017-01-25 |
| 1952757585 | Sarah Vanselous Spencer | Speech-Language Pathologist | 2720 Sheraton Dr # D-140, Macon, GA 31204 | 2016-05-12 |
| 1952706343 | Matthew Wayne Frazier | Pharmacist | 4260 Log Cabin Dr, Macon, GA 31204 | 2014-10-28 |
| 1215338587 | Sharon Yvette Flewellen | Licensed Practical Nurse | 1876 Moore Street, Macon, GA 31204 | 2014-09-05 |
| 1336565647 | Accel Wellness Center, LLC | Specialist | 3083 Vineville Avenue, Macon, GA 31204 | 2014-03-11 |
| 1821439811 | Irene Gung Ho | Physician Assistant | 3203 Vineville Ave Ste A, Macon, GA 31204 | 2013-07-08 |
| 1518125657 | Jennifer Burns | Marriage & Family Therapist | 116 Pierce Avenue, Macon, GA 31204 | 2008-05-27 |
| 1255599346 | Methodist Home of The South Georgia Conference, Inc. | Voluntary or Charitable | 304 Pierce Avenue, Macon, GA 31204 | 2008-05-27 |
| Find all providers in zip 31204 | ||||
| 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 |
|---|---|---|---|---|
| 1194348011 | First Choice Primary Care, Inc | Pharmacy | 400 Poplar St Rm 125, Macon, GA 31201-3336 | 2020-05-27 |
| 1417508789 | Elite Apothecary Services, LLC | Pharmacy | 5300 Bowman Park Rm A, Macon, GA 31210-6583 | 2019-09-26 |
| 1700360831 | Houston County Health Department | Pharmacy | 158 Emery Hwy, Macon, GA 31217-3656 | 2018-09-25 |
| 1134616113 | Noxubee General Critical Access Hospital | Pharmacy | 34 Hospital Road, Macon, MS 39341 | 2018-04-16 |
| 1881133064 | A & A Pharmacy LLC | Pharmacy | 4683 Log Cabin Dr, Macon, GA 31204-6317 | 2017-02-21 |
| 1689810095 | Southern Family Markets LLC | Pharmacy | 1425 Rocky Creek Rd, Macon, GA 31206-3575 | 2009-01-07 |
| 1356595417 | Express Rx Pharmacy, LLC. | Pharmacy | 743 Shurling Dr, Macon, GA 31211-1947 | 2008-11-15 |
| 1306980008 | Consultants' Pharmacy | Pharmacy | 655 North Ave, Ste B, Macon, GA 31211 | 2007-02-16 |
| 1710020870 | Smith Management Services LLC | Pharmacy | 655 North Ave Ste A, Macon, GA 31211 | 2007-02-15 |
| 1982707725 | Georgia Cvs Pharmacy LLC | Pharmacy | 1271 Gray Hwy, Macon, GA 31211-1919 | 2006-09-07 |
| Find all providers in MACON | ||||
Please comment or provide details below to improve the information on UNIONVILLE DISCOUNT PHARMACY 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.