DOGWOOD PHARMACY LLC (NPI# 1528581402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528581402 |
| Entity Type | Organization |
| Organization Name | DOGWOOD PHARMACY LLC |
| Other Organization Name | DOGWOOD PHARMACY |
| Practice Address |
1909 Us Highway 82 W Ste 11 Tifton GA 31793-8213 |
| Mailing Address |
501 N Davis St Nashville GA 31639-1426 |
| Practice Telephone | 2292562411 |
| Practice Fax Number | 2292562488 |
| Mailing Telephone | 2292371462 |
| Enumeration Date | 2017-07-21 |
| Last Update Date | 2017-07-21 |
| Authorized Official Name | LAURA EUGENA TYSON (PRESIDENT/OWNER/PHARMACIST) |
| Authorized Official Telephone | 2296862620 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | Y |
| Parent Organization Name | DOGWOOD PHARMACY LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHRE010367 | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | STATE RETAIL PHARMACY LICENSE | PHRE010367 | 01 |
| Other Name | Type Code |
|---|---|
| Dogwood Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164536157 | Dogwood Pharmacy LLC | Pharmacy | 205 S Magnolia St, Woodville, TX 75979-5234 | 2006-08-18 |
| 1336184514 | Dogwood Pharmacy LLC | Pharmacy | 501 N Davis St, Nashville, GA 31639-1426 | 2006-06-19 |
| 1811523657 | Dogwood Pharmacy LLC | Pharmacy | 205 S Magnolia St, Woodville, TX 75979-5234 | 2020-03-12 |
| Street Address |
1909 US HIGHWAY 82 W STE 11 |
| City | TIFTON |
| State | GA |
| Zip Code | 31793-8213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245799857 | Dogwood Pharmacy Ltc | Pharmacy | 1909 Us Highway 82 W Ste 11, Tifton, GA 31793-8213 | 2019-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508428442 | Tift Regional Health System Inc | Nurse Practitioner | 1464 Carpenter Road S, Tifton, GA 31793 | 2019-07-01 |
| 1528556990 | Careconnect Health, Inc. | Clinic/Center | 1909 Hwy. 82 West, Suites 3 & 4, Tifton, GA 31793 | 2018-05-01 |
| 1003132754 | Mark Davis Wilson | Pediatrics | 1909 Us Highway 82 W Ste 3&4, Tifton, GA 31793 | 2010-04-19 |
| 1003982752 | Leanette S Roberson | Counselor | 1603 Mallard Lane, Tifton, GA 31793 | 2006-11-27 |
| 1356447536 | Tift County Comissioner of Roads & Revenues | Ambulance | 1209 N Tifton Avenue, Tifton, GA 31793 | 2006-09-15 |
| 1295063956 | Fran Mcpherson | Nurse Practitioner | 2201 Rutland Rd, Tifton, GA 31793-5026 | 2009-11-18 |
| 1710542451 | Tiffany Kennedy | Contractor | 2770 Eb Hamilton Dr Apt 203, Tifton, GA 31793-5060 | 2019-05-08 |
| 1801948229 | Frank M Davis | Family Medicine | 67 Hutchinson Rd, Tifton, GA 31793-5551 | 2007-01-17 |
| 1629552237 | Allison M Holland | Contractor | 166 Cambridge Ct, Tifton, GA 31793-5675 | 2018-09-19 |
| 1215189865 | Cindia Poole Dubravcic | Nurse Practitioner | 2802 Moore Hwy, Abac, Tifton, GA 31793-5679 | 2008-10-15 |
| Find all providers in zip 31793 | ||||
| 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 |
|---|---|---|---|---|
| 1194345777 | South Georgia Drug Company LLC | Pharmacy | 1202 Us Highway 41 N, Tifton, GA 31794-3202 | 2020-04-23 |
| 1639561756 | Fred's Stores of Tennessee Inc. | Pharmacy | 1442 Tift Ave N, Tifton, GA 31794-3545 | 2015-02-26 |
| 1922344498 | Allen Pharmacy Group, LLC | Pharmacy | 602 Love Ave, Tifton, GA 31794-4406 | 2013-01-02 |
| 1750484408 | Georgia Cvs Pharmacy LLC | Pharmacy | 111 8th St E, Tifton, GA 31794-4099 | 2006-09-07 |
| 1407911613 | Tift County Hospital Authority | Pharmacy | 901 18th St E, Tifton, GA 31794-3648 | 2006-12-27 |
| 1669483707 | Pinkstons Drug Store Inc | Pharmacy | 302 Main St, Tifton, GA 31794-4814 | 2006-08-11 |
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|---|---|---|---|---|
| 1154922441 | Southern Pharmacy Group LLC | Pharmacy | 110 Allison St., Jesup, GA 31545 | 2020-11-04 |
| 1184225526 | Svdp Georgia Community Pharmacy LLC | Pharmacy | 2050 Chamblee Tucker Rd Ste C, Chamblee, GA 30341-3343 | 2020-11-03 |
| 1194325860 | Panola Pharmacy LLC | Pharmacy | 2348 Panola Rd Unit C, Lithonia, GA 30058-5406 | 2020-10-30 |
| 1659971539 | Bob and Jeff's Hometown Pharmacy of Thomasville, LLC | Pharmacy | 309 Smith Ave, Thomasville, GA 31792-5534 | 2020-10-29 |
| 1679171979 | Dfg LLC | Pharmacy | 638 Historic Hwy 441 Suite A, Demorest, GA 30530 | 2020-10-09 |
| 1033716915 | Au Medical Center, Inc. | Pharmacy | 818 Saint Sebastian Way Ste 402, Augusta, GA 30901-2654 | 2020-10-05 |
| 1043817208 | Mlk Pharmacy2.0 | Pharmacy | 2457 Mlk Jr Dr Sw Ste A, Atlanta, GA 30311-1712 | 2020-10-01 |
| 1508470964 | Swain Drug Company LLC | Pharmacy | 855 Bowens Mill Rd Sw Suite E, Douglas, GA 31533 | 2020-09-03 |
| 1205446341 | Sunny Pharmacy | Pharmacy | 5364 Jonesboro Rd, Lake City, GA 30260-3557 | 2020-08-04 |
| 1841818044 | Hospital Authority of Miller County | Pharmacy | 213 Delores Street, Colquitt, GA 39837 | 2020-07-14 |
| 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.