CLINIC DRUG STORE, INC. (NPI# 1265985667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265985667 |
| Entity Type | Organization |
| Organization Name | CLINIC DRUG STORE, INC. |
| Other Organization Name | CLINIC DRUG STORE |
| Practice Address |
1001 E Forsyth St Americus GA 31709-3721 |
| Mailing Address |
Po Box 445 Americus GA 31709-0445 |
| Practice Telephone | 2299242783 |
| Practice Fax Number | 2299249220 |
| Mailing Telephone | 2299242783 |
| Mailing Fax Number | 2299249220 |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2016-08-02 |
| Authorized Official Name | LEE PINNELL (OWNER) |
| Authorized Official Telephone | 2299425170 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
PHRE003303 | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000025088A | 05 | |
| PK | 2162319 | 01 |
| Other Name | Type Code |
|---|---|
| CLINIC DRUG STORE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144749847 | Clinic Drug Store, Inc. | Pharmacy | 103 Main St, Plains, GA 31780 | 2017-09-13 |
| Street Address |
1001 E FORSYTH ST |
| City | AMERICUS |
| State | GA |
| Zip Code | 31709-3721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073582920 | Clinic Drug Store | Pharmacy | 1001 E Forsyth St, Americus, GA 31709-3721 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113668 | Sherita Patricia Green | Non-emergency Medical Transport (VAN) | 397 Brady Road, Americus, GA 31709 | 2020-10-31 |
| 1679199723 | Alitha Lannette Hawkins | Licensed Practical Nurse | 415 Tripp St, Americus, GA 31709 | 2020-06-24 |
| 1346710076 | Julie Howell Horn | Nurse Practitioner | 199a Southland Rd., Americus, GA 31709 | 2018-11-26 |
| 1831667948 | Heather Marie Pickle | Nurse Practitioner | 915 Elmo Street, Americus, GA 31709 | 2018-11-06 |
| 1114442100 | Thunderbolt Trailers, Inc. | Durable Medical Equipment & Medical Supplies | 128 E Forsyth St Unit 6542, Americus, GA 31709 | 2017-08-10 |
| 1083137384 | Lannelle German Wilson | Social Worker | 100 Heads Avenue, Americus, GA 31709 | 2017-07-19 |
| 1386173706 | April Owen | Behavioral Analyst | 302 E Furlow, Americus, GA 31709 | 2017-06-08 |
| 1396274726 | Dionna Shaunta Johnson | Case Manager/Care Coordinator | 211 North Jackson Street, Americus, GA 31709 | 2017-06-08 |
| 1972049377 | Lionel Brown | Nurse Anesthetist, Certified Registered | 211 Elliott, Americus, GA 31709 | 2017-01-10 |
| 1528426400 | Pamela Gordon | Counselor | 411 North Jackson Street, Americus, GA 31709 | 2016-02-05 |
| Find all providers in zip 31709 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821145319 | Magnolia Manor Pharmacy | Pharmacy | 2001 S Lee St, Americus, GA 31709 | 2007-01-05 |
| 1407963069 | Americus & Sumter County Hospital Authority | Pharmacy | 100 Wheatley Dr, Americus, GA 31709-3788 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942800271 | Macs Ltc Pharmacy Georgia LLC | Pharmacy | 1351 Oakbrook Dr Ste 110, Norcross, GA 30093-2242 | 2020-10-27 |
| 1295347516 | Kayton Pharmacy LLC | Pharmacy | 541 Forest Pkwy Ste 4, Forest Park, GA 30297-2147 | 2020-08-18 |
| 1205479771 | Welltree Pharmacy LLC | Pharmacy | 5009 Roswell Rd Ste 210, Atlanta, GA 30342-2205 | 2019-10-28 |
| 1346882735 | Mortar and Pestle, LLC | Pharmacy | 300 Mooty Bridge Rd, Lagrange, GA 30240-1881 | 2019-10-17 |
| 1134685241 | Mgp Rx, LLC | Pharmacy | 1951 Canton Rd Ste 290, Marietta, GA 30066-6300 | 2019-02-13 |
| 1326553090 | West Georgia Home Medical Equipment Co Inc | Pharmacy | 1861 Roanoke Rd Ste A, Lagrange, GA 30240-3850 | 2017-12-04 |
| 1295278166 | Prestige Pharmacy Snellville LLC | Pharmacy | 1551 Janmar Rd, Suite B, Snellville, GA 30078-5606 | 2016-11-28 |
| 1609327089 | Butler Long Term Care Solutions | Pharmacy | 10 B North Poplar St, Butler, GA 31006 | 2016-10-20 |
| 1285180711 | Vn Pharmacy LLC | Pharmacy | 5000 Buford Hwy, Suite A-106, Atlanta, GA 30341-3500 | 2016-08-25 |
| 1871953406 | South Georgia Pharmacy Services Inc | Pharmacy | 720 W Central Ave Ste 1, Moultrie, GA 31768-3560 | 2016-02-24 |
| Find all providers with the same taxonomy | ||||
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| 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.