NPI age
17 years
Enumerated 2008-06-05
● Active Type 2 · Organization
McIntosh Trail Csb
McIntosh Trail Csb is 1 of 40 pharmacy organizations in Georgia.
Primary specialty
Pharmacy
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
McCollum
Executive Director
Last NPPES update
2008-06-11
Source: monthly bulk 2026-05
How this organization compares
Across 40 active pharmacy providers in Georgia.
NPI age
17 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2008 → 2026
2008-06Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
1501a Kalamazoo Dr
Griffin, GA 302243919
Mailing address
136 N Hill St
Griffin, GA 302233335
Authorized official
Pamela McCollum
Executive Director
📞 7703588251
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Tammy Garner, LPN Licensed Practical Nurse NPI 1740456151
- Connie Klopfenstein, APRN, CS Clinical Nurse Specialist NPI 1497871313
- Michelle Milstein, RN Registered Nurse NPI 1528369485
Specialties
-
Pharmacy PrimaryA pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 1123645 | NCPDP |
| 05 (GA) | 000251666A |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
BHC Pharmacy
Practice context
Multi-provider organization. 3 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.