DIXIE CITY PHARMACY 1
NPI 1538140769
Pharmacy in Gainesville, GA

Q: What is Mimbs Drug Co's NPI number?

The NPI number for Mimbs Drug Co is 1538140769. It was assigned to this organization in the NPPES registry on November 5, 2005. The provider is doing business as Dixie City Pharmacy 1.

Q: What is Mimbs Drug Co's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Q: When was this NPI record last updated?

The NPPES record for Mimbs Drug Co was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 05, 2005

1077 JESSE JEWELL PKWY SW, GAINESVILLE, GA 30501(770) 536-3329(770) 536-0462 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dixie City Pharmacy 1 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIXIE CITY PHARMACY 1 (NPI 1538140769) is a healthcare organization registered as a pharmacy in Gainesville, Georgia and active in the NPI registry since November 2005. The organization lists Eddie H Mimbs, President, as its authorized official.

NPPES Registry Identity

NPI1538140769

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameMIMBS DRUG CO

Location Address1077 JESSE JEWELL PKWY SWGainesville, GA 30501-6103

Mailing Address1077 Jesse Jewell Pkwy SwGainesville, GA 30501-6103 · (770) 536-3329 · Fax (770) 536-0462

Phone(770) 536-3329

Fax(770) 536-0462

Organization SubpartNo

Authorized OfficialEddie H MimbsPresident · (770) 536-3329

Enumeration DateNovember 5, 2005

Last NPPES UpdateMarch 7, 2023

✔ NPI 1538140769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

License✔ Licensed in GA · PHRE003427

Definition

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

1077 JESSE JEWELL PKWY SW, Gainesville, GA 30501

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Other Names 1

Doing Business AsDixie City Pharmacy 1

Other Identifiers 4

Medicaid00025891BGA

Medicaid00025891AGA

OtherPHRE003427GA · State Lisc No

Other1102689GA · Ncpdp

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. MARIA CATARINA ANDRADE CPHT

Pharmacy Technician