Active NPI
Clinic Drug Store, Inc.
- Pharmacy
- Americus, GA
National Provider Identifier
1073582920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 003303
- 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, 2026
- 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
- Dr. Lee Fouche' Pinnell, PHARM.D.
- Title
- Co-Owner
- Phone
- (229) 924-2783
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00025088A | Medicaid | GA | |
| 1104481 | Other | NABP/NCPDP |
National Provider Directory
National Provider DirectoryNPI 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.