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PATTERSON PHARMACARE INC. NPI 1023135316


NPI Information

NPI: 1023135316
Provider Name: PATTERSON PHARMACARE, INC.
Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
6460 HWY 84
PATTERSON, GA
ZIP 31557
Phone: (912) 647-0777
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PATTERSON PHARMACARE, INC. is a community/retail pharmacy pharmacy in Patterson, GA. The provider is 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. PATTERSON PHARMACARE, INC. NPI is 1023135316. The provider is registered as an organization entity type.

The provider's business location address is:

6460 HWY 84
PATTERSON, GA
ZIP 31557-016
Phone: (912) 647-0777
Fax: (912) 647-0739

The provider's authorized official is Richard Griffis .
The authorized official title is Ceo and has the following contact phone number (912) 647-0777.

The enumeration date for this NPI number is 3/23/2007 and was last updated on 6/5/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336C0004XPharmacyCompounding PharmacyNo
33336L0003XPharmacyLong Term Care PharmacyNo
43336C0003XPharmacyCommunity/Retail PharmacyPHRE008957GEORGIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1080073227AMEDICAIDGEORGIA
21153371OTHERNCPDP PROVIDER IDENTIFICATION NUMBER
35494820001OTHERGEORGIAMEDICARE NCS
45494820001MEDICARE NSCGEORGIA
56653640001MEDICARE NSC

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: 4/28/2024

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