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VIDALIA PHARMACY INC
NPI 1114969342
Pharmacy - Community/Retail Pharmacy in Vidalia, GA

Active since June 12, 2006
209 JACKSON ST, VIDALIA, GA 30474(912) 537-4134(912) 537-4169 Get Directions Write a Review

NPPES record last updated: November 23, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vidalia Pharmacy Inc NPPES

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

VIDALIA PHARMACY INC (NPI 1114969342) is a healthcare organization registered as a community/retail pharmacy in Vidalia, Georgia and active in the NPI registry since June 2006. The organization lists Walter Bedingfield, Owner, as its authorized official.

NPPES Registry Identity

NPI1114969342
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameVIDALIA PHARMACY INC
Location Address209 JACKSON STVidalia, GA 30474-4713
Mailing Address209 Jackson StVidalia, GA 30474-4713 · (912) 537-4134 · Fax (912) 537-4169
Phone(912) 537-4134
Fax(912) 537-4169
Organization SubpartNo
Authorized OfficialWalter BedingfieldOwner · (912) 537-4134
Enumeration DateJune 12, 2006
Last NPPES UpdateNovember 23, 2016
✔ NPI 1114969342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in GA · 005032
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
Also ListedPharmacy · Institutional PharmacyTaxonomy 3336I0012X
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X
Also ListedPharmacy · Managed Care Organization PharmacyTaxonomy 3336M0003X
209 JACKSON ST, Vidalia, GA 30474
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Other Names 1

Doing Business AsVidalia Pharmacy Inc

Other Identifiers 3

Other2012881Pk
Medicaid0037749AGA
Medicare PIN1160310001

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 ›

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 Vidalia Pharmacy Inc's NPI number?

The NPI number for Vidalia Pharmacy Inc is 1114969342. It was assigned to this organization in the NPPES registry on June 12, 2006.

Where is Vidalia Pharmacy Inc located?

Vidalia Pharmacy Inc is located at 209 Jackson St, Vidalia, GA 30474. The listed phone number is (912) 537-4134.

What is Vidalia Pharmacy Inc's specialty?

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

What insurance does Vidalia Pharmacy 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 47 other insurers list Vidalia Pharmacy 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 Vidalia Pharmacy Inc was last updated on November 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.