1306519392 NPI number — U SAVE IT PHARMACY INC

Table of content: (NPI 1306519392)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1306519392 NPI number — U SAVE IT PHARMACY INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
U SAVE IT PHARMACY INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1306519392
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/27/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 72148
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ALBANY
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
31708-2148
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
229-435-4571
Provider Business Mailing Address Fax Number:
229-435-7069

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
438 CABINESS RD STE C
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FORSYTH
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
31029-2148
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
478-994-2015
Provider Business Practice Location Address Fax Number:
478-994-2017
Provider Enumeration Date:
07/27/2021

Additional Information

Authorized Official

Authorized Official Last Name:
SHARPE
Authorized Official First Name:
THOMAS
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER / VICE PRESIDENT
Authorized Official Telephone Number:
229-435-4571

Provider Taxonomy Codes

  • Taxonomy code: 3336L0003X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 000030687A , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com