Skip to content

Medical Center Prescription Shop

NPI 1598721086ActiveOrganization· Pharmacy· Eastman, GA

Pharmacy in Eastman, Georgia, registered in NPPES in April 2006. The authorized official on file is Michael Frederick Dwozan, RPH, Ceo. Medicare paid $8,154 for services to 40 patients in 2024.

Overview

NPI1598721086
StatusActive
Entity typeOrganization
NPI issuedApr 24, 2006
Last updated in NPPESJul 27, 2025
Certified by providerJul 27, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacy Primary333600000XPHRE006118GA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Mass Immunization (Roster Biller Only) (GA)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients40
Services billed109 across 8 procedure codes
Paid by Medicare$8,154

Medicare sources and data years

Other Pharmacy providers in Eastman

All Pharmacy providers in Georgia →