Ledford RX Express Inc
Organization Active NPI Community/Retail Pharmacy · La Fayette, GA
NPI 1376652099 · NPPES record last updated Apr 22, 2026
Key facts
- NPI
- 1376652099
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- PHRE008978 (GA)
- Legal business name
- LEDFORD RX EXPRESS INC
- Practice address
- 1201 N Main St
La Fayette, GA 30728-2150 - Phone
- (706) 638-1281
- Fax
- (706) 638-1283
- NPI assigned
- Aug 29, 2006
- Organization subpart
- No
Authorized official
- Name
- Lora Hutcherson, PHARM.D
- Title
- Owner/Pic
- Phone
- (706) 638-1281
Other NPIs on the same Medicare enrollment 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20121231000093 | GA | Part B Supplier - Mass Immunization (Roster Biller Only) | 5193926855 |
1 other NPI on this enrollment Practice locations: La Fayette, GA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PHRE008978 | GA | Yes |
Addresses
Primary practice location
1201 N Main St
La Fayette, GA 30728-2150
Mailing address
1201 N Main St
La Fayette, GA 30728-2150
Phone (706) 638-1281
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 179262796A | Medicaid | GA | |
| 1153751 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names
- Ledford Rx Express Pharmacy
Other providers in La Fayette, GA
- Lafayette After Hours, LLC
- Lafayette Family Care, LLC
- Lafayette Family Practice
- Lafayette Medical Providers
- Ledford RX Express Inc
- Madison J Ledford
- Ledfords RX Express
- Ledfords RX Express Pharmacy
- Levie Family Dentistry PC
- Walter Hill Levie Jr.
All providers in La Fayette, 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 Apr 22, 2026. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.