Skidaway Village Pharmacy Inc
NPI 1710022207ActiveOrganization· Pharmacy· Savannah, GA
Pharmacy in Savannah, Georgia, registered in NPPES in February 2007. The authorized official on file is Jason Paul Conley, PHARMD, Pharmacist. Medicare paid $119,311 for services to 511 patients in 2024.
Overview
| NPI | 1710022207 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 21, 2007 |
| Last updated in NPPES | Jul 19, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | PHRE008485 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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 | 511 |
|---|---|
| Services billed | 1,695 across 8 procedure codes |
| Paid by Medicare | $119,311 |
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