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MPT PHARMACY LLC
NPI 1073922670
Pharmacy - Community/Retail Pharmacy in Hoschton, GA

Active since August 07, 2014CLIA 11D2241746 · Waiver
170 JOHN RANDOLPH DR, HOSCHTON, GA 30548(706) 658-0064(706) 654-0330 Get Directions Write a Review

NPPES record last updated: June 16, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 16, 2025, Jan 15, 2020, Nov 5, 2018 and 1 more (4 updates tracked since 2018).

About Mpt Pharmacy Llc NPPES

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

MPT PHARMACY LLC (NPI 1073922670), doing business as Jackson Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Hoschton, Georgia and active in the NPI registry since August 2014. The organization holds a CLIA Waiver certificate valid through November 1, 2027 and lists Ross Daniel Rainey, Pharmacy Manager, as its authorized official.

NPPES Registry Identity

NPI1073922670
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameMPT PHARMACY LLC
Location Address170 JOHN RANDOLPH DRHoschton, GA 30548-1502
Mailing Address170 John Randolph DrHoschton, GA 30548-1502 · (706) 658-0064 · Fax (706) 658-0330
Phone(706) 658-0064
Fax(706) 654-0330
Organization SubpartNo
Authorized OfficialRoss Daniel RaineyPharmacy Manager · (706) 658-0064
Enumeration DateAugust 7, 2014
Last NPPES UpdateJune 16, 20254 updates tracked since enumeration
NPPES CertifiedJune 16, 2025
✔ NPI 1073922670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in GA · PHRE010068
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
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
170 JOHN RANDOLPH DR, Hoschton, GA 30548
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Other Names 1

Doing Business AsJackson Pharmacy

Other Identifiers 2

Medicaid003149971AGA
Other2147287Pk

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 11D2241746

Mpt Pharmacy LLC Dba Jackson Pharmacy · Hoschton, GA
Active · expires Nov 1, 2027
CLIA Number11D2241746
Laboratory TypePharmacy
Certificate Effective DateNovember 2, 2025
Certificate Expiration DateNovember 1, 2027
Laboratory DirectorRoss D. Rainey
Laboratory Phone(706) 658-0064
Laboratory LocationMpt Pharmacy LLC Dba Jackson Pharmacy170 John Randolph Drive, Hoschton, GA 30548
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
37 services37 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
33 services33 patients

Other Providers at the Same Location NPPES

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

DR. ROSS DANIEL RAINEY PHARM.D.
Pharmacist
170 JOHN RANDOLPH DR
HOSCHTON, GA 30548
Jackson County (706) 658-0064

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 Mpt Pharmacy LLC's NPI number?

The NPI number for Mpt Pharmacy LLC is 1073922670. It was assigned to this organization in the NPPES registry on August 7, 2014. The provider is doing business as Jackson Pharmacy.

Where is Mpt Pharmacy LLC located?

Mpt Pharmacy LLC is located at 170 John Randolph Dr, Hoschton, GA 30548. The listed phone number is (706) 658-0064.

What is Mpt Pharmacy LLC's specialty?

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

Does Mpt Pharmacy LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2241746) is associated with this NPI, valid through November 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mpt Pharmacy LLC 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 46 other insurers list Mpt Pharmacy LLC 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 Mpt Pharmacy LLC was last updated on June 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.