CLARKESVILLE DRUG COMPOUNDING (NPI# 1013255389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013255389 |
| Entity Type | Organization |
| Organization Name | CLARKESVILLE DRUG COMPOUNDING |
| Practice Address |
596 W Louise St Clarkesville GA 30523-5849 |
| Practice Telephone | 7067543763 |
| Practice Fax Number | 7068391293 |
| Mailing Telephone | 7067543763 |
| Mailing Fax Number | 7068391293 |
| Enumeration Date | 2013-01-22 |
| Last Update Date | 2013-01-22 |
| Authorized Official Name | MR. DAVID LEDBETTER (OWNER/PHARMACIST) |
| Authorized Official Telephone | 7067543763 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
PHRE009524 | GA | Suppliers |
| Street Address |
596 W LOUISE ST |
| City | CLARKESVILLE |
| State | GA |
| Zip Code | 30523-5849 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033160668 | Clarkesville Drug Inc | Pharmacy | 596 W Louise St, Ste D, Clarkesville, GA 30523-5849 | 2006-05-16 |
| 1902172315 | David J Ledbetter | Pharmacist | 596 W Louise St, Suite D, Clarkesville, GA 30523-5849 | 2012-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295334209 | Mark Alan Beach | Counselor | 320 Victory Home Ln, Clarkesville, GA 30523 | 2020-10-21 |
| 1619299799 | Leonard Fishman | Specialist | 500 Blue Creek Rd, Clarkesville, GA 30523 | 2010-02-17 |
| 1710134051 | Cheston Berrong Kimsey, Jr | Dentist | 364 Jefferson St, Clarkesville, GA 30523 | 2008-08-19 |
| 1558535302 | Dr David S Greene | Optometrist | 337 Madison St, Clarksville, GA 30523 | 2008-04-14 |
| 1124160049 | Colleen M. Colegrove | Pharmacist | 199 East Louise St, Clarkesville, GA 30523 | 2007-02-14 |
| 1437290541 | Hope Lucinda Senador | Social Worker | 1423 Washington Street, Suite 210, Clarkesville, GA 30523 | 2007-02-09 |
| 1326188855 | Clarkesville Counseling & Mediation Services, Inc | Counselor | 695 Washington St, Clarkesville, GA 30523 | 2007-02-07 |
| 1013057546 | Centerpoint Counseling Services | Social Worker | 1423 Washington St, Ste 202, Clarkesville, GA 30523 | 2007-02-07 |
| 1588722276 | Regina Ann Boling | Dentist | 5332 Hwy 115, Suite A, Clarkesville, GA 30523 | 2006-12-05 |
| 1881761450 | Cummings Physical Therapy Services, LLC | Specialist | 1179 Ben Jones Road, Clarkesville, GA 30523 | 2006-11-29 |
| Find all providers in zip 30523 | ||||
| Taxonomy Code | 3336C0004X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Compounding Pharmacy |
| A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner’s Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. |
| Notes: Sources: NABP Model Practice Act, Appendix C - Good Compounding Practice, USP <795> and <797>, and Pharmacy Compounding Accreditation Board [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204921 | P2 Pharmaceutical Services, LLC | Pharmacy | 2744 Broad St, Austell, GA 30106-3200 | 2020-10-28 |
| 1326654179 | Hawthorne Compounding Pharmacy LLC | Pharmacy | 100 Hawthorne Ln Ste A, Athens, GA 30606-2171 | 2020-09-17 |
| 1730710914 | Servemed, Inc | Pharmacy | 10263 Us Hwy 19, Suite 226, 226 Plaza Drive, Zebulon, GA 30295 | 2020-01-28 |
| 1013471010 | Kennison Pharmacy, LLC | Pharmacy | 4050 Buford Drive, Buford, GA 30518 | 2019-01-24 |
| 1629563317 | Dalton Worx, LLC | Pharmacy | 1506 N Thornton Ave Ste A, Dalton, GA 30720-8515 | 2018-06-26 |
| 1285145789 | Express At Northside LLC | Pharmacy | 296 Northside Dr Sw, Atlanta, GA 30313-1228 | 2017-10-24 |
| 1619411394 | Rita Rx Inc | Pharmacy | 3379 Highway 5 Ste F, Douglasville, GA 30135-2377 | 2016-12-14 |
| 1942756176 | Med-4-you LLC | Pharmacy | 3970 Peachtree Industrial Blvd, Berkeley Lake, GA 30096-4809 | 2016-08-28 |
| 1245785120 | Lambert Pharmacy LLC | Pharmacy | 15 Thomas Grace Annex Ln Ste 150, Sharpsburg, GA 30277-3653 | 2016-08-19 |
| 1629438296 | Express Drugs of Savannah LLC | Pharmacy | 824 E De Renne Ave, Savannah, GA 31405-6717 | 2016-02-25 |
| Find all providers with the same taxonomy | ||||
| City | CLARKESVILLE |
| Zip Code | 30523 |
Please comment or provide details below to improve the information on CLARKESVILLE DRUG COMPOUNDING.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.