Clinic Drug Store, Inc.
NPI 1073582920ActiveOrganization· Pharmacy· Americus, GA
Pharmacy in Americus, Georgia, registered in NPPES in March 2006. The authorized official on file is Lee Fouche' Pinnell, PHARM.D., Co-Owner. Medicare paid $37,590 for services to 249 patients in 2024.
Overview
| NPI | 1073582920 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 14, 2006 |
| Last updated in NPPES | Aug 25, 2026 |
| Certified by provider | Aug 25, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 003303 | GA |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No 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 assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 249 |
|---|---|
| Services billed | 584 across 10 procedure codes |
| Paid by Medicare | $37,590 |
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