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LACEYS LTC PHARMACY
NPI 1023123825
Pharmacy - Long Term Care Pharmacy in Acworth, GA

Active since August 20, 2006CLIA 11D1101867 · Waiver
4469 LEMON ST, ACWORTH, GA 30101(678) 236-0400(678) 236-0404 Get Directions Write a Review

NPPES record last updated: September 14, 2016. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 14, 2016, Mar 2, 2016 (2 updates tracked since 2016).

About Laceys Ltc Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LACEYS LTC PHARMACY (NPI 1023123825) is a healthcare organization registered as a long term care pharmacy in Acworth, Georgia and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through July 7, 2027 and lists Bennie Flanagan, V-p, as its authorized official.

NPPES Registry Identity

NPI1023123825
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameLACEY DRUG COMPANY INC
Location Address4469 LEMON STAcworth, GA 30101-5418
Mailing Address4469 Lemon StAcworth, GA 30101-5418 · (678) 236-0400 · Fax (678) 236-0404
Phone(678) 236-0400
Fax(678) 236-0404
Organization SubpartNo
Authorized OfficialBennie FlanaganV-p · (678) 236-0400
Enumeration DateAugust 20, 2006
Last NPPES UpdateSeptember 14, 20162 updates tracked since enumeration
✔ NPI 1023123825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
License✔ Licensed in GA · PHRE008914
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Also ListedPharmacyTaxonomy 333600000X
4469 LEMON ST, Acworth, GA 30101
Open in Google Maps ↗

Other Names 1

Doing Business AsLaceys Ltc Pharmacy

Other Identifiers 3

Other2015785Pk
Medicare NSC0216650001
Medicaid30357CGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D1101867

Lacey Drug Company Lacey's Ltc Pharmacy · Acworth, GA
Active · expires Jul 7, 2027
CLIA Number11D1101867
Laboratory TypeIndustrial
Certificate Effective DateJuly 8, 2025
Certificate Expiration DateJuly 7, 2027
Laboratory DirectorBecky Hamilton
Laboratory Phone(678) 236-0400
Laboratory LocationLacey Drug Company Lacey's Ltc Pharmacy4469 Lemon Street, Acworth, GA 30101
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARY R. HAMILTON PHARM.D.
Pharmacist (Pharmacotherapy)
4469 LEMON ST
ACWORTH, GA 30101
Cobb County (678) 236-0400
DR. KRISTY L PUCYLOWSKI PHARMD., RPH
Pharmacist
4469 LEMON ST
ACWORTH, GA 30101
Cobb County (678) 236-0400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lacey Drug Company Inc's NPI number?

The NPI number for Lacey Drug Company Inc is 1023123825. It was assigned to this organization in the NPPES registry on August 20, 2006. The provider is doing business as Laceys Ltc Pharmacy.

Where is Lacey Drug Company Inc located?

Lacey Drug Company Inc is located at 4469 Lemon St, Acworth, GA 30101. The listed phone number is (678) 236-0400.

What is Lacey Drug Company Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Does Lacey Drug Company Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1101867) is associated with this NPI, valid through July 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lacey Drug Company Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 44 other insurers list Lacey Drug Company Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lacey Drug Company Inc was last updated on September 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.