GORDON DRUG COMPANY
NPI 1184718942
Pharmacy - Community/Retail Pharmacy in Gordon, GA

Active since October 03, 2006CLIA 11D0975551 · Waiver
240 MILLEDGEVILLE ROAD, GORDON, GA 31031(478) 628-2425(478) 628-2263 Get Directions Write a Review

NPPES record last updated: January 28, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gordon Drug Company NPPES

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

GORDON DRUG COMPANY (NPI 1184718942) is a healthcare organization registered as a community/retail pharmacy in Gordon, Georgia and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through July 10, 2028 and lists Carl Lake Stanley, President, as its authorized official.

NPPES Registry Identity

NPI1184718942
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameGORDON DRUGS, INC.
Location Address240 MILLEDGEVILLE ROADGordon, GA 31031
Mailing AddressPo Box 249Gordon, GA 31031-0249 · (478) 628-2425 · Fax (478) 628-2263
Fax(478) 628-2263
Organization SubpartNo
Authorized OfficialCarl Lake StanleyPresident · (478) 628-2425
Enumeration DateOctober 3, 2006
Last NPPES UpdateJanuary 28, 2010
NPI 1184718942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in GA · PHRE005143
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
240 MILLEDGEVILLE ROAD, Gordon, GA 31031

Other Names 1

Doing Business AsGordon Drug Company

Other Identifiers 4

Medicaid00144196BGA
Medicare NSC0131050001
Medicaid00144196AGA
Medicare NSC0131050001GA

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 11D0975551

Gordon Drug Co · Gordon, GA
Active · expires Jul 10, 2028
CLIA Number11D0975551
Laboratory TypePharmacy
Certificate Effective DateJuly 11, 2026
Certificate Expiration DateJuly 10, 2028
Laboratory DirectorCarl L. Stanley
Laboratory Phone(912) 628-2425
Laboratory LocationGordon Drug Co242 Milledgeville Road, Gordon, GA 31031
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

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.
114 services112 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.
90 services90 patients
Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home M0201
The Covid-19 vaccine can be administered at your home for convenience and safety. This service is reported once per home, per date, when only the vaccine is given. It's a straightforward process where a medical professional visits your home to give the vaccine.
24 services24 patients

Medical Equipment Supplier Medicare DMEPOS 17

Medicare supplier enrollment and the product categories Gordon Drug Co carries, from the Medicare DMEPOS supplier directory.

Gordon Drug Co

DMEPOS supplier · Gordon, GAOperated by Gordon Drugs, Inc.

Accepts Medicare assignment

Gordon Drug Co 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)20548013
Medicare Participant SinceOctober 4, 2009
Supplier Location240 Milledgeville HwyGordon, GA 31031
Supplier Specialties
Certified Other Orthotic Personnel Pharmacy

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
Commodes, Urinals, Bedpans
Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
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.

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 Gordon Drugs, Inc.'s NPI number?

The NPI number for Gordon Drugs, Inc. is 1184718942. It was assigned to this organization in the NPPES registry on October 3, 2006. The provider is doing business as Gordon Drug Company.

Where is Gordon Drugs, Inc. located?

Gordon Drugs, Inc. is located at 240 Milledgeville Road, Gordon, GA 31031. The listed phone number is (478) 628-2425.

What is Gordon Drugs, Inc.'s specialty?

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

Does Gordon Drugs, Inc. accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Gordon Drug Co accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Gordon Drugs, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0975551) is associated with this NPI, valid through July 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Gordon Drugs, 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 49 other insurers list Gordon Drugs, 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 Gordon Drugs, Inc. was last updated on January 28, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.