Clinical Specialties LLC

Primary specialty

PharmacistTaxonomy code 183500000X

License

PHRE008682 Issued in GA

Legal business name

CLINICAL SPECIALTIES LLC

Practice address

3708 Executive Center Dr Ste a
Augusta, GA 30907-0956

Phone

(706) 855-1915

Fax

(706) 855-1456

NPI assigned

Nov 14, 2006

Organization subpart

No

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

Authorized official

Name

Austin E Gore, RPHNPI 1710059217

Title

Owner

Phone

(706) 855-1915

Specialties & licenses 1

Addresses

Tax ID family

Clinical Specialties LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Clinical Specialties, LLC

  • Community/Retail Pharmacy
  • Augusta, GA
  • NPI 1598068967
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Austin E Gore, RPH

  • Pharmacist
  • Augusta, GA
  • NPI 1710059217
  NPD (past) Authorized official

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073685574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 HICKORY RIDGE RD",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298037362",
            "telephone_number": "706-855-1915",
            "fax_number": "706-855-1456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3708 EXECUTIVE CENTER DR STE A",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309070956",
            "telephone_number": "706-855-1915",
            "fax_number": "706-855-1456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL SPECIALTIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GORE",
        "authorized_official_first_name": "AUSTIN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-855-1915",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "PHRE008682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosa J Clemons, RN
• Chiquita Jalecia Cleveland, LCSW
• Kimberly Clevenger
• Lindsey Ann Clevenger, DMD
• Braden William Clinebell
• Clinical Specialties, LLC
• Kevin Stephen Cloy
• Coastal Air, Inc
• Coastal Home Care, LLC
• Nicholas John Coates, M.D

• Pharmacist in Augusta, GA
• Providers in Augusta, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.