Lee Goodrum Eastside Pharmacy is an authorized DME supplier for medicare equipments and products.
Lee Goodrum Eastside Pharmacy is a Pharmacist in Newnan, Georgia. This pharmacy is owned and operated by Thompson's Pharmacy, Inc.. It is located at 134 Millard Farmer Industrial Blvd, Newnan and it's customer support contact number is 770-251-4808. The authorized person of Lee Goodrum Eastside Pharmacy is Mr. Trey John Berl Thompson Iii, PHARMD who is Owner of the pharmacy and his contact number is 404-969-9734.Lee Goodrum Eastside Pharmacy accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Lee Goodrum Eastside Pharmacy is an individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Pharmacy Details:
Lee Goodrum Eastside Pharmacy type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Mr. Trey John Berl Thompson Iii
Credentials:
PHARMD
Position:
Owner
Contact Number:
404-969-9734
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1760534010
NPI Enumeration Date:
17 Jan, 2007
NPI Last Update On:
18 Aug, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lee Goodrum Eastside Pharmacy are as mentioned below.
Specialization
License Number
State
Status
Pharmacist
Primary
Community/Retail Pharmacy
007093
Georgia
Secondary
Compounding Pharmacy
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1134927
Other
Ncpdp Provider Identification Number
403928A
Medicaid
Georgia
Medicare Enrollment:
Lee Goodrum Eastside Pharmacy is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID:
Enrollment ID:
Org Name
Medicare Entity Type
7113233826
O20150826000586
White Oak Pharmacy Inc
PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY)
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.