BALL GROUND PHARMACY LLC NPI 1013080811
Pharmacy - Community/Retail Pharmacy in Ball Ground, GA

About BALL GROUND PHARMACY LLC

Ball Ground Pharmacy Llc is a provider established in Ball Ground, Georgia operating as a Pharmacy with a focus in community/retail pharmacy . The NPI number of Ball Ground Pharmacy Llc is 1013080811 and was assigned on November 2006. The practitioner's primary taxonomy code is 3336C0003X with license number PHRE007345 (GA). The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Ball Ground Pharmacy. The authorized official of this NPI record is Jeffrey Richardson Rph (Pharmacist)

NPI
1013080811
Provider NameBALL GROUND PHARMACY LLC
Location Address470 VALLEY ST STE 100 BALL GROUND, GA 30107
Location Phone(770) 735-6161
Mailing Address470 VALLEY ST STE 100 BALL GROUND, GA 30107
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameBALL GROUND PHARMACY
Other Name TypeDoing Business As (3)
Enumeration Date11-17-2006
Last Update Date11-23-2016



Ball Ground Pharmacy Llc is a medicare supplier with PTAN 5846870001 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Immunosuppressive Drugs or Nebulizer Drugs or Oral Anticancer Drugs or Blood Glucose Monitors/Supplies (Non-Mail Order) or Orthoses: Off-The-Shelf.

The CLIA number of Ball Ground Pharmacy Llc is 11D2245225 registered as a "pharmacy" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Ball Ground Pharmacy Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code3336C0003X
ClassificationPharmacy
TypeSuppliers
SpecializationCommunity/Retail Pharmacy
License No.PHRE007345
License StateGA
Taxonomy DescriptionA pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting insurance plans from the following companies or healthcare programs:

  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Business Address

BALL GROUND PHARMACY LLC
470 VALLEY ST
STE 100
BALL GROUND, GA
ZIP 30107
Phone: (770) 735-6161
Fax: (770) 735-6925

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Mailing Address

BALL GROUND PHARMACY LLC
470 VALLEY ST
STE 100
BALL GROUND, GA
ZIP 30107
Phone: (770) 735-6161
Fax: (770) 735-6925


Location Map

Authorized Official

The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

Authorized Official Name JEFFREY RICHARDSON RPH
Authorized Official TitlePHARMACIST
Authorized Official Phone(404) 272-6893

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN5846870001
Accepts Medicare AssignmentYES
Specialities ListPharmacy.
Supplies List
  • Immunosuppressive Drugs - Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
  • Nebulizer Drugs - Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
  • Oral Anticancer Drugs - FDA anticancer drugs
  • Blood Glucose Monitors/Supplies (Non-Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
  • Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
Competitive BiddingNO

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1013080811 is:

CLIA Number11D2245225
Facility TypePHARMACY
Certificate TypeCertificate of Waiver

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1333600000XSuppliersPharmacyNo

Taxonomy Description: a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

23336C0004XSuppliersPharmacyCompounding PharmacyNo

Taxonomy Description: a pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
000473052CMEDICAID (05)GA
5846870001MEDICARE NSC (07)
2017773OTHER (01)PK

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1013080811
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
202308082
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 8 + 0 + 8 + 2 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 11

The NPI number 1013080811 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1346265402 ANNE B TODD M.D.
Individual
Family Medicine470 VALLEY ST STE 200
BALL GROUND, GA 30107
(770) 479-5535

Frequently Asked Questions

What is BALL GROUND PHARMACY LLC NPI number?

The NPI number assigned to BALL GROUND PHARMACY LLC is 1013080811, registered as an "organization" on November 17, 2006

Where is BALL GROUND PHARMACY LLC located?

The provider is located at 470 Valley St Ste 100 Ball Ground, Ga 30107 and the phone number is (770) 735-6161

What kind of medical provider is BALL GROUND PHARMACY LLC?

This medical organization specializes in Pharmacy with a focus in Community/Retail Pharmacy

What insurance does BALL GROUND PHARMACY LLC accept?

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your insurance plan is currently accepted.

What is BALL GROUND PHARMACY LLC CLIA number?

The provider's CLIA number is 11D2245225 for a "pharmacy" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

How do I update my NPI information?

The NPI record of BALL GROUND PHARMACY LLC was last updated on November 17, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
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