HARVEYS SUPERMARKET PHARMACY #2408
NPI 1629356167
Pharmacy - Community/Retail Pharmacy in Quitman, GA

Active since August 02, 2011
1207 W SCREVEN ST, QUITMAN, GA 31643(229) 605-0140(229) 605-0160 Get Directions Write a Review

NPPES record last updated: December 13, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Harveys Supermarket Pharmacy #2408 NPPES

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

HARVEYS SUPERMARKET PHARMACY #2408 (NPI 1629356167) is a healthcare organization registered as a community/retail pharmacy in Quitman, Georgia and active in the NPI registry since August 2011. The organization lists Courtney Fairbanks, Pharmacy Insurance Specialist, as its authorized official.

NPPES Registry Identity

NPI1629356167
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameJ.H. HARVEY CO., LLC
Location Address1207 W SCREVEN STQuitman, GA 31643-1817
Mailing AddressPo Box 1000, Ms3000Portland, ME 04104-5005 · (207) 885-7454 · Fax (207) 396-2028
Fax(229) 605-0160
Organization SubpartNo
Authorized OfficialCourtney FairbanksPharmacy Insurance Specialist · (207) 885-7454
Enumeration DateAugust 2, 2011
Last NPPES UpdateDecember 13, 2012
NPI 1629356167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition

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.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
1207 W SCREVEN ST, Quitman, GA 31643

Other Names 1

Doing Business AsHarveys Supermarket Pharmacy #2408

Other Identifiers 4

Medicaid003113782AGA
Medicare PIN202G734361
Other1161708Ncpdp Provider Number
Medicare NSC5085310029

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629356167, enumerated as an "organization" on August 02, 2011.

The provider is located at 1207 W SCREVEN ST QUITMAN, GA 31643 and the phone number is (229) 605-0140.

Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.