JOHN D. ARCHBOLD MEMORIAL HOSPITAL INC. NPI 1467430819

NPI Information

NPI: 1467430819
Provider Name: JOHN D. ARCHBOLD MEMORIAL HOSPITAL, INC.

Doing Business As: ARCHBOLD PINETREE PHARMACY

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
2705 E PINETREE BLVD
THOMASVILLE, GA
ZIP 31792
Phone: (229) 551-2365
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JOHN D. ARCHBOLD MEMORIAL HOSPITAL, INC. is a long term care pharmacy pharmacy in Thomasville, GA. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. JOHN D. ARCHBOLD MEMORIAL HOSPITAL, INC. NPI is 1467430819. The provider is registered as an organization entity type.
The provider Is Doing Business As Archbold Pinetree Pharmacy.

The provider's business location address is:

2705 E PINETREE BLVD
THOMASVILLE, GA
ZIP 31792-875
Phone: (229) 551-2365
Fax: (229) 551-2397

The provider's authorized official is Tara King .
The authorized official title is Avp and has the following contact phone number (229) 228-2229.

The enumeration date for this NPI number is 1/5/2006 and was last updated on 1/12/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies				No
2	3336H0001X	Pharmacy	Home Infusion Therapy Pharmacy			No
3	333600000X	Pharmacy				No
4	3336C0003X	Pharmacy	Community/Retail Pharmacy			No
5	3336L0003X	Pharmacy	Long Term Care Pharmacy	PHRE007122	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00420318A	MEDICAID	GEORGIA
2	2020500	OTHER		PK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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