Organization Active NPI

Clinic Drug Store, Inc.

  • Pharmacy
  • Americus, GA
National Provider Identifier
1073582920
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
003303 Issued in GA
Legal business name
CLINIC DRUG STORE, INC.
Practice address
1001 E Forsyth St
Americus, GA 31709-3721
Phone
(229) 924-2783
Fax
(229) 924-9220
NPI assigned
Mar 14, 2006
Last updated
Aug 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Authorized official

Name
Dr. Lee Fouche' Pinnell, PHARM.D.
Title
Co-Owner
Phone
(229) 924-2783

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 003303 GA Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

1001 E Forsyth St
Americus, GA 31709-3721

Mailing address

1001 E Forsyth St
PO Box 445
Americus, GA 31709-3721
Phone (229) 924-2783

Other identifiers 2

IdentifierTypeStateIssuer
00025088AMedicaidGA
1104481OtherNABP/NCPDP

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787616000000",
    "number": "1073582920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 E FORSYTH ST",
            "address_2": "PO BOX 445",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317093721",
            "telephone_number": "229-924-2783",
            "fax_number": "229-924-9220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E FORSYTH ST",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317093721",
            "telephone_number": "229-924-2783",
            "fax_number": "229-924-9220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINIC DRUG STORE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A",
        "authorized_official_last_name": "PINNELL",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "FOUCHE'",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "229-924-2783",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "GA",
            "license": "003303",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00025088A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP/NCPDP",
            "identifier": "1104481",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Americus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; 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.