GEORGIA CVS PHARMACY LLC (NPI# 1851494512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851494512 |
| Entity Type | Organization |
| Organization Name | GEORGIA CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY # 04567 |
| Practice Address |
5421 New Jesup Hwy Brunswick GA 31523-1137 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 9122641321 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2011-09-08 |
| Authorized Official Name | SUSAN COLBERT (DIRECTOR, PAYER RELATIONS) |
| Authorized Official Telephone | 4017702751 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | 004827 | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 1121413 | 01 | |
| GA | 000113187A | 05 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY # 04567 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548504343 | Georgia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 441 Fair Rd, Statesboro, GA 30458-4913 | 2012-11-16 |
| 1528302403 | Georgia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1520 Avenue Pl, Suite B-100, Atlanta, GA 30329-4015 | 2012-11-16 |
| 1710232913 | Georgia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 5900 Watson Blvd, Warner Robins, GA 31093-8669 | 2012-07-13 |
| 1811256605 | Georgia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3674 Highway 5, Douglasville, GA 30135-2364 | 2012-05-14 |
| 1447528039 | Georgia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1680 Old Pendergrass Rd, Jefferson, GA 30549-2701 | 2011-12-09 |
| 1437458593 | Georgia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3595 Atlanta Hwy, Athens, GA 30606-3152 | 2011-03-15 |
| 1174771521 | Georgia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 5570 Roswell Rd, Sandy Springs, GA 30342-1861 | 2008-08-28 |
| 1083875173 | Georgia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 13055 Highway 9 N, Milton, GA 30004-5137 | 2008-06-20 |
| 1881870806 | Georgia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 5865 Spout Springs Rd, Flowery Branch, GA 30542-3448 | 2008-01-22 |
| 1033303961 | Georgia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 5950 State Bridge Rd, Duluth, GA 30097-6438 | 2007-09-04 |
| Street Address |
5421 NEW JESUP HWY |
| City | BRUNSWICK |
| State | GA |
| Zip Code | 31523-1137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780853176 | Courtney Alyn Jonda | Pharmacist | 5421 New Jesup Hwy, Brunswick, GA 31523-1119 | 2008-02-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154813012 | Curtis Lee Crews Jr. | Case Manager/Care Coordinator | 38 Crabapple Ln, Brunswick, GA 31523 | 2018-06-05 |
| 1841267606 | Michael C Pinell | Emergency Medicine | 60 Cinema Lane, Suite 250, Saint Simons Island, GA 31523 | 2006-03-01 |
| 1902093057 | J.h. Harvey Co., LLC | Durable Medical Equipment & Medical Supplies | 284 Hyde Park Commons, Brunswick, GA 31523-0000 | 2007-10-02 |
| 1831121870 | Freds Stores of Tennessee Inc | Pharmacy | 5485 New Jesup Hwy, Brunswick, GA 31523-1119 | 2006-07-07 |
| 1407231699 | A Royal Fresh Start & Associates Inc. | Counselor | 5420 New Jesup Hwy # 187, Brunswick, GA 31523-1137 | 2015-07-29 |
| 1669812574 | Paladin Sleep Services LLC | Clinic/Center | 167 Highland Park Cir, Brunswick, GA 31523-1161 | 2013-06-25 |
| 1356778211 | Ergent Med-1 LLC | Clinic/Center | 5248 New Jesup Hwy, Brunswick, GA 31523-1211 | 2013-10-08 |
| 1134690555 | Gabrel Matthew Crabb | Nurse Practitioner | 5248 New Jesup Hwy, Brunswick, GA 31523-1211 | 2018-12-10 |
| 1811345390 | Ergent Med Prime | Clinic/Center | 5248 New Jesup Hwy, Brunswick, GA 31523-1211 | 2016-05-25 |
| 1700285418 | Ergent Med-1 | Clinic/Center | 5248 New Jesup Hwy, Brunswick, GA 31523-1211 | 2014-08-19 |
| Find all providers in zip 31523 | ||||
| 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 |
|---|---|---|---|---|
| 1811540867 | Southeastern Pharmacy LLC | Pharmacy | 5711 Altama Ave Ste G, Brunswick, GA 31525-2200 | 2019-07-18 |
| 1134214943 | Gateway Behavioral Health Services | Pharmacy | 600 Coastal Village Drive, Room 107, Brunswick, GA 31520 | 2006-10-04 |
| 1053326975 | Riser Foods Company | Pharmacy | 3440 Center Rd, Brunswick, OH 44212-3689 | 2006-07-29 |
| 1922031582 | Brunswick Medical Center Pharmacy At Parkview | Pharmacy | 329 Maine St Ste E, Brunswick, ME 04011-3310 | 2006-07-08 |
| 1831121870 | Freds Stores of Tennessee Inc | Pharmacy | 5485 New Jesup Hwy, Brunswick, GA 31523-1119 | 2006-07-07 |
| 1922043843 | Discount Drug Mart Inc | Pharmacy | 1673 Pearl Rd, Brunswick, OH 44212-3405 | 2006-06-17 |
| 1588191373 | Rite Aid Corp | Pharmacy | 3871 Center Rd, Brunswick, OH 44212-3058 | 2017-05-11 |
| 1033563077 | Donato Health LLC | Pharmacy | 3010 Altama Ave, Brunswick, GA 31520-4607 | 2016-04-15 |
| 1093982886 | Pharmacare of Georgia Inc | Pharmacy | 4319 New Jesup Hwy, Brunswick, GA 31520-1605 | 2008-05-12 |
| 1568524171 | Medicine Plus Brunswick | Pharmacy | 610 9th Ave, Brunswick, MD 21716-1828 | 2006-12-14 |
| Find all providers in BRUNSWICK | ||||
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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.