NPI age
7 years
Enumerated 2018-09-25
● Active Type 2 · Organization
Subpart
Medctr Inc
Medctr Inc is 1 of 1965 pharmacy organizations in Georgia.
Primary specialty
Pharmacy
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Pulliam
Pharmacy Owner
Last NPPES update
2024-01-26
Source: monthly bulk 2026-05
How this organization compares
Across 1965 active pharmacy providers in Georgia.
NPI age
7 years
↓ 12 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2018 → 2026
2018-09Enumerated in NPPES
2018
2026
Where they practice
Primary practice location
170 W Milledgeville Rd
Harlem, GA 308145125
Mailing address
170 W.millledgeville Rd
Harlem, GA 308145125
Authorized official
Kyle W Pulliam, RPH
Pharmacy Owner
📞 7063963900
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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003221093A |
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Harlem Pharmacy
-
Harlem Pharmacy
Practice context
Single-site organization. Only one practice location on file.
Subpart of Medctr Inc.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.