MIMBS DRUG CO. (NPI# 1700863347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700863347 |
| Entity Type | Organization |
| Organization Name | MIMBS DRUG CO. |
| Other Organization Name | DIXIE CITY PHARMACY # 5 |
| Practice Address |
1079 Jesse Jewell Pkwy Sw Gainesville GA 30501-6103 |
| Practice Telephone | 7705363108 |
| Practice Fax Number | 7705362357 |
| Mailing Telephone | 7705363108 |
| Mailing Fax Number | 7705362357 |
| Enumeration Date | 2005-12-26 |
| Last Update Date | 2008-03-03 |
| Authorized Official Name | MR. EDDIE H MIMBS (PRESIDENT) |
| Authorized Official Telephone | 7705363108 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | 008642 | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | DEA # | BD7982247 | 01 |
| GU | STATE LISC NO | PHRE008642 | 01 |
| ID | NCPDP # | 1150173 | 01 |
| Other Name | Type Code |
|---|---|
| Dixie City Pharmacy # 5 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639156219 | Mimbs Drug Co. | Pharmacy | 4251-h Winder Hwy, Flowery Branch, GA 30542-4623 | 2005-12-27 |
| 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 |
| Street Address |
1079 JESSE JEWELL PKWY SW |
| City | GAINESVILLE |
| State | GA |
| Zip Code | 30501-6103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710548664 | Gainesville Pharmacy LLC | Pharmacy | 1079 Jesse Jewell Pkwy Sw, Gainesville, GA 30501-6103 | 2019-06-21 |
| 1922358860 | Itzelis Del Carmen Godreau | Pharmacist | 1079 Jesse Jewell Pkwy Sw, Gainesville, GA 30501 | 2012-09-18 |
| 1801911607 | Carl D Parker | Pharmacist | 1079 Jesse Jewell Pkwy Sw, Gainesville, GA 30501-6103 | 2007-03-20 |
| 1467576512 | Jim Johnson | Pharmacist | 1079 Jesse Jewell Pkwy Sw, Gainesville, GA 30501-6103 | 2007-03-16 |
| 1386787265 | Natali Castillo | Pharmacy Technician | 1079 Jesse Jewell Pkwy Sw, Gainesville, GA 30501-6103 | 2007-02-14 |
| 1811030711 | Vicenta R Turner | Pharmacy Technician | 1079 Jesse Jewell Pkwy Sw, Gainesville, GA 30501-6103 | 2007-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437782851 | Madison Raye Huth | Physician Assistant | 743 Spring Street Se, Gainesville, GA 30501 | 2020-02-13 |
| 1205487659 | Grace M Walker Brown | Nurse Practitioner | 592 Medical Park Dr., Suite A, Gainesville, GA 30501 | 2019-09-26 |
| 1174086987 | Nayab Ahmed | Student in an Organized Health Care Education/Training Program | 743 Spring Street, Suite 710, Gainesville, GA 30501 | 2019-04-09 |
| 1154881118 | Ryan D Berry | Student in an Organized Health Care Education/Training Program | 734 Spring St Se Ste 710, Gainesville, GA 30501 | 2019-03-24 |
| 1609336304 | Harper E Niver | Student in an Organized Health Care Education/Training Program | 743 Spring St., Suite 710, Gainesville, GA 30501 | 2019-03-20 |
| 1508336173 | Bradee Burrell Aderholt | Nurse Practitioner | 663 Lanier Park Drive, Gainesville, GA 30501 | 2018-11-27 |
| 1578068359 | Soammy Liz Matias | Chiropractor | 961 Green Street, Gainesville, GA 30501 | 2018-03-26 |
| 1811496896 | Matthew Brown | Speech-Language Pathologist | 500 Spring St. Se Suite 101, Gainesville, GA 30501 | 2018-02-06 |
| 1346769825 | Dr. Skeete & Associates of North Georgia, P.C. | Optometrist | 150 Pearl Nix Parkway, Suite D3a, Gainesville, GA 30501 | 2017-09-15 |
| 1932624723 | M & B Imaging, PC | Radiology | 1640 Jesse Jewell Pkwy Se Ste 2, Gainesville, GA 30501 | 2017-08-14 |
| Find all providers in zip 30501 | ||||
| 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 |
|---|---|---|---|---|
| 1437658234 | Adeola Adeniji | Pharmacy | 7371 Atlas Walk Way, Gainesville, VA 20155-2992 | 2018-02-07 |
| 1437657491 | Sras LLC | Pharmacy | 14370 Lee Hwy Ste 105, Gainesville, VA 20155-4865 | 2018-01-24 |
| 1114432663 | Pwrx Pharmacy, LLC | Pharmacy | 6754 Calthorpe Pl, Gainesville, VA 20155-4428 | 2017-12-06 |
| 1134526619 | On-site Rx, Inc | Pharmacy | 2435 Old Cornelia Hwy., Gainesville, GA 30507 | 2014-11-26 |
| 1528499191 | Precision Care Pharmacy Services Inc | Pharmacy | 2131 Nw 55th Ter, Gainesville, FL 32605-3374 | 2013-12-09 |
| 1588816912 | Wegmans Food Market, Inc | Pharmacy | 8297 Stonewall Shops Square, Attn: Pharmacy Manager, Gainesville, VA 20155 | 2008-10-16 |
| 1467576470 | Hi-tech Healthcare Inc | Pharmacy | 502 S Enota Dr Ne, Gainesville, GA 30501-2546 | 2007-03-16 |
| 1780724773 | Student Health Pharmacy At The University of Florida | Pharmacy | 280 Fletcher Dr, Gainesville, FL 32611-2038 | 2007-02-07 |
| 1386710481 | Alan R Mcelveeen | Pharmacy | 1210 Thompson Bridge Rd, Gainesville, GA 30501-1779 | 2006-11-28 |
| 1972675759 | Stephen D Adams Pharmacies Inc | Pharmacy | 631 Broad St Se, Gainesville, GA 30501-3729 | 2006-11-15 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 30501 |
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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.