MIMBS DRUG CO. (NPI# 1639156219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639156219 |
| Entity Type | Organization |
| Organization Name | MIMBS DRUG CO. |
| Other Organization Name | DIXIE CITY PHARMACY # 4 |
| Practice Address |
4251-h Winder Hwy Flowery Branch GA 30542-4623 |
| Practice Telephone | 7709659101 |
| Practice Fax Number | 7709659658 |
| Mailing Telephone | 7709659101 |
| Mailing Fax Number | 7709659658 |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. EDDIE H MIMBS (PRESIDENT) |
| Authorized Official Telephone | 7709659101 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | PHRE008007 | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00714887A | 05 | |
| GU | NCPDP # | 1142998 | 01 |
| GA | DEA NUMBER | BD5014585 | 01 |
| GU | STATE LISC NUMBER | PHRE008007 | 01 |
| Other Name | Type Code |
|---|---|
| Dixie City Pharmacy # 4 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538146113 | Mimbs Drug Co. | Pharmacy | 2415-f Old Cornelia Highway, Gainesville, GA 30507-6901 | 2005-12-27 |
| 1992782536 | Mimbs Drug Co. | Pharmacy | 2500 Limestone Pkwy, Gainesville, GA 30501-2089 | 2005-12-26 |
| 1700863347 | Mimbs Drug Co. | Pharmacy | 1079 Jesse Jewell Pkwy Sw, Gainesville, GA 30501-6103 | 2005-12-26 |
| Street Address |
4251-H WINDER HWY |
| City | FLOWERY BRANCH |
| State | GA |
| Zip Code | 30542-4623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558974709 | Medlife Healthcare | Clinic/Center | 2129 Friendship Rd, Flowery Branch, GA 30542 | 2020-08-27 |
| 1437673431 | Ronnie Weeks Lcsw LLC | Social Worker | 4825 Oliver Road, Flowery Branch, GA 30542 | 2017-08-01 |
| 1801342183 | Hema Sundar | Dentist | 4028 Winder Highway, Edmonton, GA 30542 | 2016-08-28 |
| 1316397037 | Georgia Dental Professionals, PC | Dentist | 4030 Winder Highway, Flowery Branch, GA 30542 | 2016-06-14 |
| 1285067793 | Home Care Matters | Home Health | 5505 Church St, Suite 240, Flowery Branch, GA 30542 | 2013-08-20 |
| 1093957052 | Janelle Elizabeth Luczka | Social Worker | 4331 Thurmond Tanner Pkwy, Flowery Branch, GA 30542 | 2009-04-06 |
| 1073764791 | Guillermina Osoria | Driver | 1707 Tree Park Cir, Flowery Branch, GA 30542 | 2008-10-01 |
| 1083888531 | Ingles Markets Inc | Pharmacy | 4260 Winder Hwy, Flowery Branch, GA 30542 | 2008-04-16 |
| 1679793038 | Sonea Maria Russell | Physical Therapy Assistant | Willowood Nursing Center, 4595 Cantrell Road, Flowery Branch, GA 30542 | 2007-04-26 |
| 1134345895 | Ray Charles Davis | Psychiatry & Neurology | 4331 Thurmond Tanner Parkway, Flowery Branc, GA 30542 | 2007-04-18 |
| Find all providers in zip 30542 | ||||
| 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 |
|---|---|---|---|---|
| 1922607662 | H & W Pharmacy | Pharmacy | 4091 Redan Rd Ste C, Stone Mountain, GA 30083-4767 | 2020-10-23 |
| 1720603756 | Medical-pharmacy Associates of Georgia, LLC | Pharmacy | 1425 Georgia Ave Ste 1, Macon, GA 31201-6546 | 2020-06-16 |
| 1700419454 | Janus Rx | Pharmacy | 836 E 65th St Ste 42, Savannah, GA 31405-4496 | 2020-02-20 |
| 1295373702 | Downtown Pharmacy LLC | Pharmacy | 236 Forsyth St Sw Ste 202b, Atlanta, GA 30303-3786 | 2019-12-16 |
| 1750928719 | Goodscript, Inc. | Pharmacy | 3115 Roswell Rd Ste 205, Marietta, GA 30062-7611 | 2019-12-09 |
| 1942844741 | Genoa Healthcare, LLC | Pharmacy | 400 Technology Ct Se Ste J, Room P, Smyrna, GA 30082-5237 | 2019-11-05 |
| 1225670995 | Allcare Pharmacy, LLC | Pharmacy | 1004 S Tennille Ave, Donalsonville, GA 39845 | 2019-10-14 |
| 1417598327 | Connect Care Pharmacy, LLC | Pharmacy | 2191 Hwy 247 Connector, Byron, GA 31008-5531 | 2019-10-02 |
| 1467003467 | Selamawit Dejene | Pharmacy | 464 Bishop St Nw Apt 336, Atlanta, GA 30318-5384 | 2019-09-23 |
| 1902454721 | Batts Drug Company Mansfield, LLC | Pharmacy | 4424 Highway 213, Mansfield, GA 30055-3211 | 2019-08-27 |
| Find all providers with the same taxonomy | ||||
| City | FLOWERY BRANCH |
| Zip Code | 30542 |
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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.