INGLES PHARMACY #428
NPI 1124033071
Pharmacy - Community/Retail Pharmacy in Clarkesville, GA

Active since July 29, 2006CLIA 11D2184987 · Waiver
199 E LOUISE ST, CLARKESVILLE, GA 30523(706) 754-3933(706) 754-3974 Get Directions Write a Review

NPPES record last updated: August 15, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 15, 2019, Feb 12, 2019 (2 updates tracked since 2019).

About Ingles Pharmacy #428 NPPES

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

INGLES PHARMACY #428 (NPI 1124033071) is a healthcare organization registered as a community/retail pharmacy in Clarkesville, Georgia and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through May 27, 2028 and lists Stephen V Cucchi, Vp Of Pharmacy, as its authorized official.

NPPES Registry Identity

NPI1124033071
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameINGLES MARKETS INC
Location Address199 E LOUISE STClarkesville, GA 30523
Mailing AddressPo Box 603941Charlotte, NC 28260-3941 · (828) 669-2941 · Fax (828) 669-3685
Fax(706) 754-3974
Organization SubpartNo
Authorized OfficialStephen V CucchiVp Of Pharmacy · (828) 669-2941
Enumeration DateJuly 29, 2006
Last NPPES UpdateAugust 15, 20192 updates tracked since enumeration
NPI 1124033071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in GA · PHRE009021
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.
199 E LOUISE ST, Clarkesville, GA 30523

Other Names 1

Doing Business AsIngles Pharmacy #428

Other Identifiers 2

Other1154296Other Id Number-commercial Number
Medicaid151133852AGA

Accepted 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 11D2184987

Ingles Markets, Inc (ingles Pharmacy #428) · Clarkesville, GA
Active · expires May 27, 2028
CLIA Number11D2184987
Laboratory TypePharmacy
Certificate Effective DateMay 28, 2026
Certificate Expiration DateMay 27, 2028
Laboratory DirectorCaroline Cecka Duty
Laboratory Phone(706) 754-3933
Laboratory LocationIngles Markets, Inc (ingles Pharmacy #428)199 E Louise Street, Clarkesville, GA 30523
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.
296 services293 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.
267 services267 patients

Medical Equipment Supplier Medicare DMEPOS 5

Medicare supplier enrollment and the product categories Ingles Markets Pharmacy #428 carries, from the Medicare DMEPOS supplier directory.

Ingles Markets Pharmacy #428

DMEPOS supplier · Clarkesville, GAOperated by Ingles Markets Inc

Accepts Medicare assignment

Ingles Markets Pharmacy #428 agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20521451
Medicare Participant SinceMay 12, 2012
Supplier Location199 E Louise StClarkesville, GA 30523
Supplier Specialties
Pharmacy Grocery Store

Medicare Product Categories

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
Oral Antiemetic Drugs
FDA antiemetic 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
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 3

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

Pharmacist
199 E LOUISE ST
CLARKESVILLE, GA 30523
Pharmacist
199 E LOUISE ST
CLARKESVILLE, GA 30523
Pharmacist
199 E LOUISE ST
CLARKESVILLE, GA 30523

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 Ingles Markets Inc's NPI number?

The NPI number for Ingles Markets Inc is 1124033071. It was assigned to this organization in the NPPES registry on July 29, 2006. The provider is doing business as Ingles Pharmacy #428.

Where is Ingles Markets Inc located?

Ingles Markets Inc is located at 199 E Louise St, Clarkesville, GA 30523. The listed phone number is (706) 754-3933.

What is Ingles Markets Inc's specialty?

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

Does Ingles Markets Inc accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Ingles Markets Pharmacy #428 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Ingles Markets Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2184987) is associated with this NPI, valid through May 27, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ingles Markets 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 45 other insurers list Ingles Markets 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 Ingles Markets Inc was last updated on August 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.