NPI age
17 years
Enumerated 2008-12-01
● Active Type 2 · Organization
Georgia Cvs Pharmacy, L.l.c.
Georgia Cvs Pharmacy, L.l.c. is 1 of 961 pharmacy organizations in Georgia.
Primary specialty
Pharmacy
Plus 2 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Colbert
Director, Payer Relations
Last NPPES update
2011-03-08
Source: monthly bulk 2026-05
How this organization compares
Across 961 active pharmacy providers in Georgia.
NPI age
17 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
2
In the 80% of peers with subspecialties
NPI lifetime · 2008 → 2026
2008-12Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
4585 Hartley Bridge Rd.
MacOn, GA 31216
Mailing address
1 Cvs Dr, Box 1075 - Pharmacy Enrollments
Woonsocket, RI 028956146
Authorized official
Susan Colbert
Director, Payer Relations
📞 4017702751
Specialties
-
Pharmacy PrimaryA facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally...
-
Durable Medical Equipment & Medical SuppliesA supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
-
PharmacyA pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 170205833A | |
| 01 (GA) | 1158080 | NCPDP |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
CVS/Pharmacy # 07504
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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