Pharmscript of Ga LLC
Organization Active NPI Long Term Care Pharmacy · Macon, GA
NPI 1730632829 · NPPES record last updated Apr 24, 2025
Key facts
- NPI
- 1730632829
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Long Term Care Pharmacy 3336L0003X
- License
- PHRE009779 (GA)
- Legal business name
- PHARMSCRIPT OF GA LLC
- Practice address
- 4611 Ivey Dr Ste 850
Macon, GA 31206-8819 - Phone
- (908) 389-1818
- Fax
- (508) 281-1843
- NPI assigned
- Jul 26, 2016
- Organization subpart
- No
Authorized official
- Name
- Chana Hoff
- Title
- VP of Financial Operations
- Phone
- (908) 389-1818
Member of 1
Practitioners 1
-
Duy Truong Nguyen, PHARMD
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Pharmscript of Ga LLC |
Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Does not accept assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211201000460 | GA | DME Supplier - Pharmacy | 1557751880 | Practice locations: Macon, GA |
| O20220606000486 | GA | Part B Supplier - Mass Immunization (Roster Biller Only) | 1557751880 | Practice locations: Macon, GA |
| O20230830002591 | GA | Part B Supplier - Mass Immunization (Roster Biller Only) | 1557751880 | Practice locations: Macon, GA |
National Provider Directory
Locations
97 Hefner St
Ste 201
East Ellijay, GA 30540
Phone (706) 635-4310
4611 Ivey Dr
Ste 850
Macon, GA 31206
Phone (205) 399-1291
4611 Ivey Dr
Bldg 8
Macon, GA 31206
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Clinic Pharmacy | 3336C0002X | |||
| Compounding Pharmacy | 3336C0004X | |||
| Institutional Pharmacy | 3336I0012X | |||
| Long Term Care Pharmacy | 3336L0003X | PHRE009779 | GA | Yes |
Addresses
Primary practice location
4611 Ivey Dr Ste 850
Macon, GA 31206-8819
Mailing address
150 Pierce Street
Somerset, NJ 08873-0582
Phone (401) 241-3344
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2162062 | Other | PK | |
| 003125493A | Medicaid | GA |
Other providers in Macon, GA
- Catherine Petterson
- Chuc V Pham
- Madeline Pham
- Nghia Trong Phan
- Pharmalab,LLC
- Heather E Phelan
- Kwanjula A Phelps
- Lazonya Phelps
- Paul Raymond Phelps Sr.
- Keith N Phillippi
All providers in Macon, GA · Long Term Care 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 24, 2025. 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.