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DR. LACEY MONGRUE
NPI 1194318303
Pharmacist in Augusta, GA

Active since February 18, 2021
3527 RIVER WATCH PKWY, AUGUSTA, GA 30907(706) 210-0091(706) 228-5260 Get Directions Write a Review

NPPES record last updated: February 18, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Lacey Mongrue NPPES

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

DR. LACEY MONGRUE (NPI 1194318303) is an individual pharmacist in Augusta, Georgia, licensed in Georgia (RPH027259) and active in the NPI registry since February 2021.

NPPES Registry Identity

NPI1194318303
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameDR. LACEY MONGRUE
Location Address3527 RIVER WATCH PKWYAugusta, GA 30907-2919
Mailing Address3527 River Watch PkwyAugusta, GA 30907-2919 · (706) 210-0091 · Fax (706) 228-5260
Phone(706) 210-0091
Fax(706) 228-5260
Sole ProprietorNo
Enumeration DateFebruary 18, 2021
NPPES CertifiedFebruary 18, 2021
✔ NPI 1194318303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in GA · RPH027259
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
3527 RIVER WATCH PKWY, Augusta, GA 30907
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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.

GEORGIA CVS PHARMACY, L.L.C.
Pharmacy
3527 RIVER WATCH PKWY
MARTINEZ, GA 30907
Columbia County (706) 510-0091
THUAN DANG PHARM D
Pharmacist
3527 RIVER WATCH PKWY
MARTINEZ, GA 30907
Columbia County (706) 210-0091
DR. OBINNA OJI ODI PHARM-D
Pharmacist
3527 RIVER WATCH PKWY
MARTINEZ, GA 30907
Columbia County (706) 210-0091

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 Lacey Mongrue's NPI number?

The NPI number for Lacey Mongrue is 1194318303. It was assigned to this individual provider in the NPPES registry on February 18, 2021.

Where is Lacey Mongrue located?

Lacey Mongrue practices at 3527 River Watch Pkwy, Augusta, GA 30907. The listed phone number is (706) 210-0091.

What is Lacey Mongrue's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Lacey Mongrue was last updated on February 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.