Valdosta State University
NPI 1083132484ActiveOrganization· Pharmacy· Valdosta, GA
Pharmacy in Valdosta, Georgia, registered in NPPES in September 2017. The authorized official on file is Lynette Lewis, Administrator.
Overview
| NPI | 1083132484 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 6, 2017 |
| Last updated in NPPES | Sep 19, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | PHRE010386 | 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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Pharmacy providers in Valdosta
- 1851662720
- 1124100912
- 1437252269
- 1881984557
- 1114755931
- 1386626570
- 1831171867
- 1760938013
- 1205841418
- 1285157974
- 1396825972