MEDICARE: BEDINGFIELD PHARMACY, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	00021832B	GA
2	3336C0003X	Community/Retail Pharmacy	02833	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003912304
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEDINGFIELD PHARMACY, INC

Provider Business Mailing Address
First Line	:	83 W RAILROAD ST, SUITE B
Second Line	:	PO BOX 326
City	:	PEMBROKE
State	:	GA
Zip	:	31321
Country	:	US
Telephone Number	:	912-653-4596
Fax Number	:	912-653-4585

Provider Business Practice Location Address
First Line	:	83 W RAILROAD ST, SUITE B
Second Line	:
City	:	PEMBROKE
State	:	GA
Zip	:	31321
Country	:	US
Telephone Number	:	912-653-4596
Fax Number	:	912-653-4585

Authorized Official
Title or Position	:	CHIEF PHARMACIST
Name	:	TERESA F SMITH
Credential	:	RPH
Telephone Number	:	912-653-4596

Provider Enumeration Date	:	09/15/2006
Last Update Date	:	02/20/2026

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Directions to “BEDINGFIELD PHARMACY, INC ” Practice Location

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