Ingles Markets Inc
Organization Active NPI Community/Retail Pharmacy · Blairsville, GA
NPI 1114228558 · NPPES record last updated Aug 15, 2019
Key facts
- NPI
- 1114228558
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- PHRE009708 (GA)
- Legal business name
- INGLES MARKETS INC
- Practice address
- 207B Highway 515
Blairsville, GA 30512 - Phone
- (706) 745-1700
- Fax
- (706) 745-1675
- NPI assigned
- Nov 16, 2010
- Organization subpart
- No
Authorized official
- Name
- Mr. Stephen V Cucchi, RPH
- Title
- VP of Pharmacy
- Phone
- (828) 669-2941
Other NPIs on the same Medicare enrollment 33
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Ingles Pharmacy #098 |
Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order) | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090716000635 | GA | Part B Supplier - Mass Immunization (Roster Biller Only) | 5092867614 |
35 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Elberton, GA; Ellijay, GA; Flowery Branch, GA; Forsyth, GA; Gray, GA; Griffin, GA; Hartwell, GA; Hiawassee, GA… |
| O20110607000676 | GA | DME Supplier - Pharmacy | 5092867614 | Practice locations: Blairsville, GA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PHRE009708 | GA | Yes |
Addresses
Primary practice location
207B Highway 515
Blairsville, GA 30512
Mailing address
PO Box 603941
Charlotte, NC 28260-3941
Phone (828) 669-2941
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003116593A | Medicaid | GA | |
| 0117018 | Medicaid | NC |
Other names
- Ingles Pharmacy #098
Other providers in Blairsville, GA
- Leslie Lynn Hughes
- Michael Hughes
- Hyer Apothecary LLC
- Hyer Apothecary LLC
- Independent Physical Therapy of Ga, LLC
- Innovative Anesthesia Solutions LLC
- J Gregory Waller PC
- Jack W Pennington MD LLC
- Jeffrey H Martin MD PA
- JKB Holdings, Inc
All providers in Blairsville, GA · Community/Retail Pharmacy in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.