Clark Drug Company, LLC.
NPI 1619524865ActiveOrganization· Pharmacy· Waynesboro, GA
Pharmacy in Waynesboro, Georgia, registered in NPPES in August 2019. The authorized official on file is Benjamin Ross, Ceo. Medicare paid $5,339 for services to 33 patients in 2024.
Overview
| NPI | 1619524865 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 22, 2019 |
| Last updated in NPPES | Aug 22, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
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 - Pharmacy (GA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 33 |
|---|---|
| Services billed | 73 across 9 procedure codes |
| Paid by Medicare | $5,339 |
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