Active NPI
David'S Drug & Surgical Shop
- Durable Medical Equipment & Medical Supplies
- Griffin, GA
National Provider Identifier
1003867904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- DAVID'S DRUG & SURGICAL SHOP
- Practice address
- 315 S 8TH St
Griffin, GA 30224 - Phone
- (770) 227-6338
- Fax
- (770) 229-2571
- NPI assigned
- May 15, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. David E Clements Sr., RPH
- Title
- Pres
- Phone
- (770) 227-6338
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary | ||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
315 S 8TH St
Griffin, GA 30224
Mailing address
315 S 8TH St
Griffin, GA 30224
Phone (770) 227-6338
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000026034A | Medicaid | GA | |
| 000026034B | Medicaid | GA | |
| 000026034C | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930037815 | GA | DME Supplier - Pharmacy | 0244357390 | Practice locations: Griffin, GA |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
315 S 8th St
Griffin, GA 30224
Phone (770) 227-6338
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Griffin, GA
- NPI 1174682884
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750204800000",
"number": "1003867904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 S 8TH ST",
"city": "GRIFFIN",
"state": "GA",
"postal_code": "30224",
"telephone_number": "770-227-6338",
"fax_number": "770-229-2571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 S 8TH ST",
"city": "GRIFFIN",
"state": "GA",
"postal_code": "30224",
"telephone_number": "770-227-6338",
"fax_number": "770-229-2571"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID'S DRUG & SURGICAL SHOP",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-15",
"last_updated": "2025-06-18",
"certification_date": "2025-06-18",
"status": "A",
"authorized_official_last_name": "CLEMENTS",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRES",
"authorized_official_telephone_number": "770-227-6338",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Sr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000026034A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000026034B",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000026034C",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Griffin, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.