LACEY'S MARIETTA PHARMACY
NPI 1477657898
Pharmacy - Community/Retail Pharmacy in Marietta, GA

Q: What is Lacey Drug Co., Inc.'s NPI number?

The NPI number for Lacey Drug Co., Inc. is 1477657898. It was assigned to this organization in the NPPES registry on September 8, 2006. The provider is doing business as Lacey's Marietta Pharmacy.

Q: What is Lacey Drug Co., Inc.'s specialty?

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

Active since September 08, 2006CLIA 11D2221836 · Waiver

790 CHURCH ST NE STE 210, MARIETTA, GA 30060(770) 424-3131(770) 424-2935 Get Directions Write a Review

NPPES record last updated: October 8, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Lacey's Marietta Pharmacy NPPES

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

LACEY'S MARIETTA PHARMACY (NPI 1477657898) is a healthcare organization registered as a community/retail pharmacy in Marietta, Georgia and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through April 25, 2027 and lists Larry L Braden, Owner, as its authorized official.

NPPES Registry Identity

NPI1477657898

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameLACEY DRUG CO., INC.

Location Address790 CHURCH ST NE STE 210Marietta, GA 30060-8950

Mailing Address790 Church St Ne, Suite 170Marietta, GA 30060-7282 · (770) 424-3131 · Fax (770) 424-2935

Phone(770) 424-3131

Fax(770) 424-2935

Organization SubpartNo

Authorized OfficialLarry L BradenOwner · (770) 974-5234

Enumeration DateSeptember 8, 2006

Last NPPES UpdateOctober 8, 2019

✔ NPI 1477657898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in GA · PHRE007082

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 · License PHRE007082 (GA)

Also ListedPharmacyTaxonomy 333600000X · License PHRE007082 (GA)

Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X · License PHRE007082 (GA)

Also ListedPharmacy · Home Infusion Therapy PharmacyTaxonomy 3336H0001X · License PHRE0070082 (GA)

790 CHURCH ST NE STE 210, Marietta, GA 30060

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Other Names 1

Doing Business AsLacey's Marietta Pharmacy

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.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 11D2221836

Lacey's Marietta Pharmacy · Marietta, GA

Active · expires Apr 25, 2027

CLIA Number11D2221836

Laboratory TypePharmacy

Certificate Effective DateApril 26, 2025

Certificate Expiration DateApril 25, 2027

Laboratory DirectorDarrin Anderson

Laboratory Phone(770) 424-3131

Laboratory LocationLacey's Marietta Pharmacy790 Church Street, Suite 210, Marietta, GA 30060

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.

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.

116 services116 patients

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.

114 services114 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.

DR. LOGAN RUSSELL HENDERSON PHARMD

Pharmacist

790 CHURCH ST NE STE 210
MARIETTA, GA 30060

Cobb County (770) 424-3131

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 Drug Co., Inc.'s NPI number?

The NPI number for Lacey Drug Co., Inc. is 1477657898. It was assigned to this organization in the NPPES registry on September 8, 2006. The provider is doing business as Lacey's Marietta Pharmacy.

Where is Lacey Drug Co., Inc. located?

Lacey Drug Co., Inc. is located at 790 Church St NE Ste 210, Marietta, GA 30060. The listed phone number is (770) 424-3131.

What is Lacey Drug Co., Inc.'s specialty?

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

Does Lacey Drug Co., Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2221836) is associated with this NPI, valid through April 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lacey Drug Co., 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 Lacey Drug Co., 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 Lacey Drug Co., Inc. was last updated on October 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.