NPI age
19 years
Enumerated 2006-09-07
● Active Type 2 · Organization
Georgia Cvs Pharmacy Llc
Georgia Cvs Pharmacy Llc is 1 of 961 pharmacy organizations in Georgia.
Primary specialty
Pharmacy
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Colbert
Director, Payer Relations
Last NPPES update
2022-04-21
Source: monthly bulk 2026-05
How this organization compares
Across 961 active pharmacy providers in Georgia.
NPI age
19 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
1
In the 80% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-09Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
103 Jesse Jewel Pkwy Sw
Gainesville, GA 305014321
Mailing address
1 Cvs Dr, Po Box 1075
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...
-
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 |
|---|---|---|
| 01 | 1101310 | OTHER ID NUMBER-COMMERCIAL NUMBER |
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
CVS PHARMACY # 04507
-
CVS PHARMACY # 04507
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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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.