PHILLIPS PHARMACY
NPI 1437214012
Pharmacy in Vidalia, GA

Active since December 26, 2006CLIA 11D0975553 · Waiver
306 W 1ST ST, VIDALIA, GA 30474(912) 537-3049(912) 537-3040 Get Directions Write a Review

NPPES record last updated: January 9, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Phillips Pharmacy NPPES

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

PHILLIPS PHARMACY (NPI 1437214012) is a healthcare organization registered as a pharmacy in Vidalia, Georgia and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through July 10, 2028 and lists Heather Hall Gourley, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1437214012
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NamePHILLIPS DRUGS, INC
Location Address306 W 1ST STVidalia, GA 30474-3369
Mailing AddressPo Box 120Vidalia, GA 30475-0120 · (912) 537-3049 · Fax (912) 537-3040
Fax(912) 537-3040
Organization SubpartNo
Authorized OfficialHeather Hall GourleyPharmacist · (912) 537-3049
Enumeration DateDecember 26, 2006
Last NPPES UpdateJanuary 9, 2014
NPI 1437214012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in GA · PHRE003663
Definition

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

306 W 1ST ST, Vidalia, GA 30474

Other Names 1

Doing Business AsPhillips Pharmacy

Other Identifiers 3

Medicare ID-Type Unspecified0966890001GA
Other1115369GA · Ncpdp
Medicaid00033228AGA

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 11D0975553

Phillips Pharmacy · Vidalia, GA
Active · expires Jul 10, 2028
CLIA Number11D0975553
Laboratory TypePharmacy
Certificate Effective DateJuly 11, 2026
Certificate Expiration DateJuly 10, 2028
Laboratory DirectorPaul R. Combs
Laboratory Phone(912) 537-3049
Laboratory LocationPhillips Pharmacy306 West First Street, Vidalia, GA 30474
CLIA data matches this NPI record on: 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.

Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
83 services82 patients
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.
83 services82 patients

Other Providers at the Same Location NPPES 4

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

Pharmacist
306 W 1ST ST
VIDALIA, GA 30474
Pharmacist
306 W 1ST ST
VIDALIA, GA 30474
Pharmacy (Long Term Care Pharmacy)
306 W 1ST ST
VIDALIA, GA 30474
Pharmacist
306 W 1ST ST
VIDALIA, GA 30474

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 Phillips Drugs, Inc's NPI number?

The NPI number for Phillips Drugs, Inc is 1437214012. It was assigned to this organization in the NPPES registry on December 26, 2006. The provider is doing business as Phillips Pharmacy.

Where is Phillips Drugs, Inc located?

Phillips Drugs, Inc is located at 306 W 1st St, Vidalia, GA 30474. The listed phone number is (912) 537-3049.

What is Phillips Drugs, Inc's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Does Phillips Drugs, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0975553) 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 Phillips 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 Phillips 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 Phillips Drugs, Inc was last updated on January 9, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.