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Midcity Pharmacy

NPI 1619044914ActiveOrganization· Pharmacist· Canton, GA

Pharmacist in Canton, Georgia, registered in NPPES in November 2006. The authorized official on file is William Grady Cagle, PHARMIST, Owner. Medicare paid $2,696 for services to 24 patients in 2024.

Overview

NPI1619044914
StatusActive
Entity typeOrganization
NPI issuedNov 29, 2006
Last updated in NPPESJul 19, 2008

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacist Primary183500000X8181GA
Durable Medical Equipment & Medical Supplies332B00000X332B00000X—

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 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

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

Medicare

Enrollment (PECOS)Enrolled DME Supplier - Pharmacy (GA); Part B Supplier - Other (GA)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients24
Services billed48 across 2 procedure codes
Paid by Medicare$2,696

Medicare sources and data years

Other Pharmacist providers in Canton

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