NPI age
19 years
Enumerated 2006-08-31
● Active Type 2 · Organization
Maxwell House Pharmacy Llc
Maxwell House Pharmacy Llc is 1 of 1965 pharmacy organizations in Georgia.
Primary specialty
Pharmacy
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Matthews
Owner
Last NPPES update
2011-03-23
Source: monthly bulk 2026-05
How this organization compares
Across 1965 active pharmacy providers in Georgia.
NPI age
19 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
1
In the 65% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-08Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
1002 Greene St
Augusta, GA 309012251
Mailing address
1002 Greene St
Augusta, GA 309012251
Authorized official
Keith Matthews
Owner
📞 8036375757
Specialties
-
Pharmacy PrimaryA 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...
-
PharmacyA 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 1100053 | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Maxwell House Pharmacy
Practice context
Single-site organization. Only one practice location on file.
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