BAKCO ENTERPRISES,INC (NPI# 1447349998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447349998 |
| Entity Type | Organization |
| Organization Name | BAKCO ENTERPRISES,INC |
| Other Organization Name | MEDICAL CENTER PHARMACY |
| Practice Address |
3121 Peach Orchard Rd Augusta GA 30906-3521 |
| Practice Telephone | 7067925130 |
| Practice Fax Number | 7067925132 |
| Mailing Telephone | 7067925130 |
| Mailing Fax Number | 7067925132 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2009-11-17 |
| Authorized Official Name | KYLE PULLIAM (OWNER PHARMACIST) |
| Authorized Official Telephone | 7068542424 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00030643A | 05 |
| Other Name | Type Code |
|---|---|
| MEDICAL CENTER PHARMACY | Doing Business As Name - Organization |
| Street Address |
3121 PEACH ORCHARD RD |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30906-3521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649241902 | Sheng Y Wang | Internal Medicine | 3121 Peach Orchard Rd, Suite 103, Augusta, GA 30906-3521 | 2006-01-26 |
| 1487271318 | Wendel Mcmillan | Licensed Practical Nurse | 3121 Peach Orchard Rd, Augusta, GA 30906-3521 | 2020-06-26 |
| 1285093443 | Lindsey Joanne Meagher | Nurse Practitioner | 3121 Peach Orchard Rd, Augusta, GA 30906-3521 | 2016-02-16 |
| 1134533961 | Lucero Jacqueline Vivar | Pediatrics | 3121 Peach Orchard Rd, Augusta, GA 30906-3521 | 2014-06-19 |
| 1265879761 | Tranika C Brown | Nurse Practitioner | 3121 Peach Orchard Rd, #103, Augusta, GA 30906-3521 | 2013-05-24 |
| 1023310182 | Wouter Johan Ceyssens | Physician Assistant | 3121 Peach Orchard Rd, Suite 102, Augusta, GA 30906-3521 | 2010-11-23 |
| 1841500543 | Natasha Lindsey Nattier | Nurse Practitioner | 3121 Peach Orchard Rd, Augusta, GA 30906-3521 | 2010-10-14 |
| 1790830768 | Christopher James Davidson | Pharmacist | 3121 Peach Orchard Rd, Suite 101, Augusta, GA 30906-3521 | 2007-01-23 |
| 1528010790 | Uh Internal Medicine Partners | Internal Medicine | 3121 Peach Orchard Rd, Suite 201, Augusta, GA 30906-3521 | 2006-05-16 |
| 1508832338 | Renee Coughlin | Internal Medicine | 3121 Peach Orchard Rd, Suite 103, Augusta, GA 30906-3521 | 2006-02-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255969432 | Barton Chapel Dental Group, LLC | Dentist | 2755 Barton Chapel Road, Augusta, GA 30906 | 2020-04-01 |
| 1255897419 | Pediatric Mobility Innovations | Durable Medical Equipment & Medical Supplies | 3114 Augusta Tech Drive Suite 404, Augusta, GA 30906 | 2019-02-13 |
| 1023539731 | Kristy Lee Gibbs | Registered Nurse | 3421 Mike Padgett Hwy Bldg C, Augusta, GA 30906 | 2017-07-03 |
| 1194186031 | Clifton Nane Williams | Counselor | 3230 Hampton Circle, Augusta, GA 30906 | 2016-03-18 |
| 1376929661 | Catherine A. Ganzy | Social Worker | 3405 Mike Padgett Highway; Building 201, East Central Regional Hosptial, Augusta, GA 30906 | 2015-08-10 |
| 1962810358 | Fatemeh Azadeh Paziraei | Dentist | 1631 Gordon Highway, Augusta Smiles Youth Dentistry, Augusta, GA 30906 | 2014-07-29 |
| 1568809770 | Brandon Jennings | Occupational Therapy Assistant | 2388 Old Mcduffie Rd, Augusta, GA 30906 | 2013-05-29 |
| 1811266646 | Eddie P Johnson IIi, Dmd, PC | Preferred Provider Organization | 2755 Barton Chapel Rd, Augusta, GA 30906 | 2011-12-23 |
| 1366739021 | Kerensa A Cooks | Registered Nurse | 3421 Mike Padgett Highway, Serenity Behavioral Health Systems, Augusta, GA 30906 | 2011-07-01 |
| 1265737423 | Pidcock Chiropractic, Inc. | Chiropractor | 3028 Peach Orchard Rd., Augusta, GA 30906 | 2011-01-20 |
| Find all providers in zip 30906 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487901476 | Au Medical Center, Inc. | Pharmacy | 1120 15th St # Bt1964, Augusta, GA 30912-0004 | 2012-08-08 |
| 1285924431 | T&j Enterprise LLC | Pharmacy | 1630 Ohio St, Augusta, KS 67010-2142 | 2011-04-08 |
| 1114012119 | Summerville Pharmacy | Pharmacy | 3087 Westwood Rd, Hani Mussad, Augusta, GA 30909 | 2006-10-04 |
| 1992800908 | Asklers Augusta Pharmacy N More Inc | Pharmacy | 108 South Webster, Augusta, MI 49012 | 2006-09-14 |
| 1861504706 | Maxwell House Pharmacy LLC | Pharmacy | 1002 Greene St, Augusta, GA 30901-2251 | 2006-08-31 |
| 1376558916 | Terese Inc | Pharmacy | 2529 Peach Orchard Rd, Augusta, GA 30906-2412 | 2006-07-30 |
| 1841222874 | Freds Stores of Tennessee Inc | Pharmacy | 1302 Highway 64 E, Augusta, AR 72006-9411 | 2006-07-07 |
| 1497791305 | Summerville Pharmacy Inc | Pharmacy | 2839 Central Ave, Augusta, GA 30909-3904 | 2006-06-20 |
| 1316987738 | Publix Super Markets Inc | Pharmacy | 2816 Washington Rd, Augusta, GA 30909-2199 | 2006-06-07 |
| 1881227601 | Janus Rx LLC | Pharmacy | 1721 Wrightsboro Rd, Augusta, GA 30904-4074 | 2020-02-20 |
| Find all providers in AUGUSTA | ||||
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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.