LEE GOODRUM PHARMACY
NPI 1053332015
Pharmacy - Community/Retail Pharmacy in Newnan, GA

Q: What is Lee Goodrum Pharmacy Inc's NPI number?

The NPI number for Lee Goodrum Pharmacy Inc is 1053332015. It was assigned to this organization in the NPPES registry on July 22, 2006. The provider is doing business as Lee Goodrum Pharmacy.

Q: What is Lee Goodrum Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Active since July 22, 2006CLIA 11D2187360 · Waiver

40 HOSPITAL RD, NEWNAN, GA 30263(770) 253-1121(770) 253-3572 Get Directions Write a Review

NPPES record last updated: April 25, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Lee Goodrum Pharmacy NPPES

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

LEE GOODRUM PHARMACY (NPI 1053332015) is a healthcare organization registered as a community/retail pharmacy in Newnan, Georgia and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through June 30, 2028 and lists John Goodrum, Ceo, as its authorized official.

NPPES Registry Identity

NPI1053332015

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameLEE GOODRUM PHARMACY INC

Location Address40 HOSPITAL RDNewnan, GA 30263-1201

Mailing Address40 Hospital RdNewnan, GA 30263-1201 · (770) 253-1121 · Fax (770) 253-3572

Phone(770) 253-1121

Fax(770) 253-3572

Organization SubpartNo

Authorized OfficialJohn GoodrumCeo · (770) 253-1121

Enumeration DateJuly 22, 2006

Last NPPES UpdateApril 25, 2016

✔ NPI 1053332015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in GA · PHRE006304

Definition

A 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.

Also ListedPharmacyTaxonomy 333600000X

40 HOSPITAL RD, Newnan, GA 30263

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Other Names 1

Doing Business AsLee Goodrum Pharmacy

Other Identifiers 3

Other2014853Pk

Medicare NSC0975740001

Medicaid00285051AGA

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 11D2187360

Lee-Goodrum Pharmacy · Newnan, GA

Active · expires Jun 30, 2028

CLIA Number11D2187360

Laboratory TypePharmacy

Certificate Effective DateJuly 1, 2026

Certificate Expiration DateJune 30, 2028

Laboratory DirectorCasey A. Tarpley

Laboratory Phone(770) 253-1121

Laboratory LocationLee-Goodrum Pharmacy40 Hosptial Road, Newnan, GA 30263

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

TARPLEY DRUG COMPANY

Pharmacy (Community/Retail Pharmacy)