MEDICAL CENTER PHARMACY OF STATESBORO, INC — NPI 1922134089 (Licensed & Credentialed Pharmacy, Community/Retail Pharmacy in STATESBORO, GA)

Plain-English Taxonomy Translation (3336C0003X)

What Does Taxonomy Code 3336C0003X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 3336C0003X translates in plain language to:
"Licensed & Credentialed Pharmacy, Community/Retail Pharmacy"

Primary Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
When Patients Should Consult: Consult a verified Pharmacy, Community/Retail Pharmacy for specialized diagnostic evaluation, treatment planning, and continuity of care.

CMS Medicare Utilization & Part D Prescribing Benchmarks

Common Procedures & Clinical Prescribing Profile

Typical clinical procedures (Medicare Part B Utilization) and therapeutic classes (Medicare Part D Prescribing) associated with MEDICAL CENTER PHARMACY OF STATESBORO, INC:

High-Volume Clinical Procedures & Diagnostics:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic & Prescribing Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	1922134089 (NPI-2 Organization / Facility)
Provider / Legal Name	MEDICAL CENTER PHARMACY OF STATESBORO, INC
Plain-English Specialty	Licensed & Credentialed Pharmacy, Community/Retail Pharmacy NUCC Code: `3336C0003X` (Pharmacy, Community/Retail Pharmacy)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	57 GRANADE ST, STATESBORO, GA, 30458
Practice Telephone / Fax	Tel: 912-764-5643 \| Fax: 912-764-9580
Administrative Mailing Address	57 GRANADE ST, STATESBORO, GA, 30458
Enumeration & Last Sync	Enumerated: 2007-02-25 \| Updated: 2023-03-07
Authorized Official	JAMES NEVIL (pharmacist/owner)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

57 GRANADE ST, STATESBORO, GA, 30458

🗺️ Open in Google Maps & Parking ⚙️ View Enriched JSON API

ADA & HIPAA Verification Note: Practice locations registered as primary LOCATION addresses under CMS NPPES are clinical service delivery sites (distinct from billing/mailing addresses).

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All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`3336C0003X` — Pharmacy, Community/Retail Pharmacy Plain English: Licensed & Credentialed Pharmacy, Community/Retail Pharmacy	State: GA \| License: PHRE006387 \| Primary Taxonomy: Yes

MEDICAL CENTER PHARMACY OF STATESBORO, INC (NPI #1922134089)