JASPER DRUG STORE AT FOOTHILLS
NPI 1104083450
Pharmacy - Community/Retail Pharmacy in Marble Hill, GA

Active since May 22, 2008
80 FOOTHILLS PKWY, MARBLE HILL, GA 30148(770) 893-3784(770) 893-3600 Get Directions Write a Review

NPPES record last updated: April 10, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jasper Drug Store At Foothills NPPES

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

JASPER DRUG STORE AT FOOTHILLS (NPI 1104083450) is a healthcare organization registered as a community/retail pharmacy in Marble Hill, Georgia and active in the NPI registry since May 2008. The organization lists Lee Dunn, President, as its authorized official.

NPPES Registry Identity

NPI1104083450
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameJASPER DRUG STORE AT FOOTHILLS
Location Address80 FOOTHILLS PKWYMarble Hill, GA 30148-2255
Mailing Address80 Foothills PkwyMarble Hill, GA 30148-2255 · (770) 893-3784 · Fax (770) 893-3600
Fax(770) 893-3600
Organization SubpartNo
Authorized OfficialLee DunnPresident · (706) 692-5910
Enumeration DateMay 22, 2008
Last NPPES UpdateApril 10, 2013
NPI 1104083450 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 · PHRE009465
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 ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X
80 FOOTHILLS PKWY, Marble Hill, GA 30148

Other Names 1

Doing Business AsJasper Drug Store At Foothills

Other Identifiers 3

Medicare NSC6284190001
Medicaid998025657GA
Other2017406Pk

Accepted Insurance

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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.
46 services44 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
45 services43 patients

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20551187
Accepts Medicare Assignment
NO
Specialities List
Pharmacy.
Competitive Bidding
NO

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

Other Providers at the Same Location NPPES

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

Pharmacy (Community/Retail Pharmacy)
80 FOOTHILLS PKWY
MARBLE HILL, GA 30148

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104083450, enumerated as an "organization" on May 22, 2008.

The provider is located at 80 FOOTHILLS PKWY MARBLE HILL, GA 30148 and the phone number is (770) 893-3784.

Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.

The provider might be accepting Accepts: Alliant Health Plans, Inc., Anthem Blue Cross and. Please consult your insurance carrier or call the provider to verify.