Clarkesville Drug Compounding

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

PHRE009524 Issued in GA

Legal business name

CLARKESVILLE DRUG COMPOUNDING

Practice address

596 W Louise St
Clarkesville, GA 30523-5849

Phone

(706) 754-3763

Fax

(706) 839-1293

NPI assigned

Jan 22, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. David Ledbetter

Title

Owner/Pharmacist

Phone

(706) 754-3763

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1358812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358812800000",
    "number": "1013255389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "596 W LOUISE ST",
            "city": "CLARKESVILLE",
            "state": "GA",
            "postal_code": "305235849",
            "telephone_number": "706-754-3763",
            "fax_number": "706-839-1293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "596 W LOUISE ST",
            "city": "CLARKESVILLE",
            "state": "GA",
            "postal_code": "305235849",
            "telephone_number": "706-754-3763",
            "fax_number": "706-839-1293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARKESVILLE DRUG COMPOUNDING",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-22",
        "last_updated": "2013-01-22",
        "status": "A",
        "authorized_official_last_name": "LEDBETTER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "706-754-3763",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "GA",
            "license": "PHRE009524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheston B. Kimsey, Jr. DDS,PC
• Marc Anthony Chetta, M.D.
• Chiropractic Spine Center of North Georgia, Inc.
• Clarkesville Counseling & Mediation Services, Inc
• Clarkesville Dermatology & Medical Associates LLC
• Clarkesville Drug Inc
• Michael Joseph Clemen, D.C.
• Corey a Mote DC LLC
• Cummings Physical Therapy Services, LLC
• Elizabeth Diane Cummings, PT

• Compounding Pharmacy in Clarkesville, GA
• Providers in Clarkesville, GA by specialty
• Compounding Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.