Clinic Pharmacy Inc
NPI 1639115025ActiveOrganization· Pharmacy· Toccoa, GA
Pharmacy in Toccoa, Georgia, registered in NPPES in June 2006. The authorized official on file is Kimberly Beecher Elrod, Owner/Pharmacist-In-Charge. Enrolled in Medicare as part b supplier - mass immunization (roster biller only).
Overview
| NPI | 1639115025 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 22, 2006 |
| Last updated in NPPES | Jul 10, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | PHRE002911 | 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) |
|---|
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