GEORGIA OXYGEN PHARMACY NPI 1114042108

NPI Information

  • NPI: 1114042108
  • Provider Name: GEORGIA OXYGEN PHARMACY
  • Classification: Durable Medical Equipment & Medical Supplies - 332BX2000X
  • Specialization: Oxygen Equipment & Supplies
  • Entity Type: Organization
  • Address: 611 S GRANT ST
    FITZGERALD, GA
    ZIP 31750
  • Phone: (229) 424-0018

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NPI Details

GEORGIA OXYGEN PHARMACY is an oxygen equipment and supplies durable medical equipment medical supplies in Fitzgerald, GA. GEORGIA OXYGEN PHARMACY NPI is 1114042108. The provider is registered as an organization entity type.

The provider's business location address is:

611 S GRANT ST
FITZGERALD, GA
ZIP 31750-315
Phone: (229) 424-0018

The provider's authorized official is Ed Hill .
The authorized official title is Owner and has the following contact phone number (229) 423-7809.

The enumeration date for this NPI number is 3/20/2007 and was last updated on 3/12/2008.

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
1333600000XPharmacyPHRE008222GEORGIANo
2332BX2000XDurable Medical Equipment & Medical SuppliesOxygen Equipment & SuppliesYes

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
1PHRE008222OTHERGEORGIAPHARMACY LICENSE
21216130001MEDICARE NSCGEORGIA
300838219BMEDICAIDGEORGIA

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: 3/30/2025

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