A Carter Clements Jr

Primary specialty

PharmacistTaxonomy code 183500000X

License

004653 Issued in GA

Legal business name

A CARTER CLEMENTS JR

Practice address

119 1St St
Rhine, GA 31077-3044

Phone

(229) 385-5351

Fax

(229) 385-6807

NPI assigned

Mar 10, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Andy Carter Clements Jr., PHARM DNPI 1790374759

Title

Owner/Pharmacist

Phone

(229) 385-5351

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Rhine Drug Company Doing business as

Medicare fee-for-service enrollment

Enrolled in GA2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• A Carter Clements Jr

  • Community/Retail Pharmacy
  • Abbeville, GA
  • NPI 1992975197

  O20100930095587

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

Practitioners 2

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

• Andy Carter Clements Jr.

  • Pharmacist
  • Rhine, GA
  • NPI 1790374759
  NPD Authorized official
• Brandi Williams

  • Pharmacist
  • Rhine, GA
  • NPI 1598356115
  NPD (past)

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710115200000",
    "number": "1619945912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100",
            "city": "RHINE",
            "state": "GA",
            "postal_code": "310770100",
            "telephone_number": "229-385-5351",
            "fax_number": "229-385-6807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 1ST ST",
            "city": "RHINE",
            "state": "GA",
            "postal_code": "310773044",
            "telephone_number": "229-385-5351",
            "fax_number": "229-385-6807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A CARTER CLEMENTS JR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-10",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A",
        "authorized_official_last_name": "CLEMENTS",
        "authorized_official_first_name": "ANDY",
        "authorized_official_middle_name": "CARTER",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "229-385-5351",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "004653",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "004653",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00035032A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rhine Drug Company",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andy Carter Clements Jr.
• Ricky Alan Cliett
• Sharon Dollar
• Claire Suzanne Greer, DPT
• JNR Professionals LLC

• All providers in Rhine, GA
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.