NPIMap

Organization Active NPI

Clinical Specialties, LLC

  • Community/Retail Pharmacy
  • Augusta, GA
National Provider Identifier
1598068967
Registry record updated Dec 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHRE008682 Issued in GA
Legal business name
CLINICAL SPECIALTIES, LLC
Practice address
318 Baston Rd
Suite 103
Augusta, GA 30907-2978
Phone
(706) 855-1915
NPI assigned
Dec 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2010

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

Authorized official

Name
Dr. Austin Eugene Gore, PHARMD
Title
Owner/ Pic
Phone
(706) 855-1915

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHRE008682 GA Primary

Addresses

Primary practice location

318 Baston Rd
Suite 103
Augusta, GA 30907-2978

Mailing address

318 Baston Rd
Suite 103
Augusta, GA 30907-2978
Phone (706) 855-1915

National Provider Directory

National Provider Directory
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.

Locations

318 Baston Rd
Ste 103
Augusta, GA 30907
Phone (706) 855-1915

NPI Registry JSON

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

{
    "created_epoch": "1291680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291680000000",
    "number": "1598068967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 BASTON RD",
            "address_2": "SUITE 103",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309072978",
            "telephone_number": "706-855-1915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 BASTON RD",
            "address_2": "SUITE 103",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309072978",
            "telephone_number": "706-855-1915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL SPECIALTIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-07",
        "last_updated": "2010-12-07",
        "status": "A",
        "authorized_official_last_name": "GORE",
        "authorized_official_first_name": "AUSTIN",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "OWNER/ PIC",
        "authorized_official_telephone_number": "706-855-1915",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE008682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2010; 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.