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VALDOSTA STATE UNIVERSITY
NPI 1083132484
Pharmacy in Valdosta, GA

Active since September 06, 2017CLIA 11D0865334 · Certificate of Compliance
200 GEORGIA AVE, VALDOSTA, GA 31698(229) 219-3205(229) 249-2791 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 19, 2025, Jul 19, 2018, May 4, 2018 (3 updates tracked since 2018).

About Valdosta State University NPPES

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

VALDOSTA STATE UNIVERSITY (NPI 1083132484), doing business as Vsu Student Health Center, is a healthcare organization registered as a pharmacy in Valdosta, Georgia and active in the NPI registry since September 2017. The organization holds a CLIA Certificate of Compliance certificate valid through November 14, 2026 and lists Lynette Lewis, Administrator, as its authorized official.

NPPES Registry Identity

NPI1083132484
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameVALDOSTA STATE UNIVERSITY
Location Address200 GEORGIA AVEValdosta, GA 31698-3843
Mailing Address200 Georgia AveValdosta, GA 31602-3843 · (229) 219-3205 · Fax (229) 249-2791
Phone(229) 219-3205
Fax(229) 249-2791
Organization SubpartNo
Authorized OfficialLynette LewisAdministrator · (229) 333-5886
Enumeration DateSeptember 6, 2017
Last NPPES UpdateSeptember 19, 20253 updates tracked since enumeration
✔ NPI 1083132484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in GA · PHRE010386
Definition
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.
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
200 GEORGIA AVE, Valdosta, GA 31698
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Other Names 1

Doing Business AsVsu Student Health Center

Other Identifiers 1

Other2170766Pk

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 Compliance 11D0865334

Valdosta State University Health Center · Valdosta, GA
Active · expires Nov 14, 2026
CLIA Number11D0865334
Laboratory TypeSchool/Student Health Service
Certificate Effective DateNovember 15, 2024
Certificate Expiration DateNovember 14, 2026
Laboratory DirectorDr. Richard Rickman
Laboratory Phone(229) 333-5886
Laboratory LocationValdosta State University Health Center200 Georgia Avenue, Valdosta, GA 31698
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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. JACQUELINE WILLIAMS DAVIS PHARM D
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
200 GEORGIA AVE
VALDOSTA, GA 31698
Lowndes County (229) 219-3205

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 Valdosta State University's NPI number?

The NPI number for Valdosta State University is 1083132484. It was assigned to this organization in the NPPES registry on September 6, 2017. The provider is doing business as VSU Student Health Center.

Where is Valdosta State University located?

Valdosta State University is located at 200 Georgia Ave, Valdosta, GA 31698. The listed phone number is (229) 219-3205.

What is Valdosta State University's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Does Valdosta State University hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 11D0865334) is associated with this NPI, valid through November 14, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Valdosta State University was last updated on September 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.