WAUKA MOUNTAIN PHARMACY
NPI 1205982352
Pharmacy - Community/Retail Pharmacy in Clermont, GA

Active since January 25, 2007CLIA 11D2030152 · Waiver
5233 CLEVELAND HWY, CLERMONT, GA 30527(770) 983-9556(770) 983-9580 Get Directions Write a Review

NPPES record last updated: June 18, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 18, 2019, Apr 28, 2017 (2 updates tracked since 2017).

About Wauka Mountain Pharmacy NPPES

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

WAUKA MOUNTAIN PHARMACY (NPI 1205982352) is a healthcare organization registered as a community/retail pharmacy in Clermont, Georgia and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through September 21, 2027 and lists Shweta Woodsmall, Owner / Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1205982352
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWAUKA MOUNTAIN PHARMACY INC
Location Address5233 CLEVELAND HWYClermont, GA 30527-2205
Mailing AddressPo Box 410Clermont, GA 30527-0410 · (770) 983-9556 · Fax (770) 983-9580
Fax(770) 983-9580
Organization SubpartNo
Authorized OfficialShweta WoodsmallOwner / Pharmacist · (770) 983-9556
Enumeration DateJanuary 25, 2007
Last NPPES UpdateJune 18, 20192 updates tracked since enumeration
NPI 1205982352 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 · PHRE006914
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
5233 CLEVELAND HWY, Clermont, GA 30527

Other Names 1

Doing Business AsWauka Mountain Pharmacy

Other Identifiers 2

Other2015525Pk
Medicaid00362865AGA

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 11D2030152

Wauka Mt Pharmacy, Inc · Clermont, GA
Active · expires Sep 21, 2027
CLIA Number11D2030152
Laboratory TypePharmacy
Certificate Effective DateSeptember 22, 2025
Certificate Expiration DateSeptember 21, 2027
Laboratory DirectorRonnie L. Cain
Laboratory Phone(770) 983-9556
Laboratory LocationWauka Mt Pharmacy, Inc5233 Cleveland Highway, Clermont, GA 30527
CLIA data matches this NPI record on: Address 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.
59 services58 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.
54 services54 patients

Other Providers at the Same Location NPPES

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

Pharmacist
5233 CLEVELAND HWY
CLERMONT, GA 30527

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 Wauka Mountain Pharmacy Inc's NPI number?

The NPI number for Wauka Mountain Pharmacy Inc is 1205982352. It was assigned to this organization in the NPPES registry on January 25, 2007. The provider is doing business as Wauka Mountain Pharmacy.

Where is Wauka Mountain Pharmacy Inc located?

Wauka Mountain Pharmacy Inc is located at 5233 Cleveland Hwy, Clermont, GA 30527. The listed phone number is (770) 983-9556.

What is Wauka Mountain Pharmacy Inc's specialty?

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

Does Wauka Mountain Pharmacy Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2030152) is associated with this NPI, valid through September 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Wauka Mountain 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 48 other insurers list Wauka Mountain 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 Wauka Mountain Pharmacy Inc was last updated on June 18, 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.