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DUNWOODY PHARMACY
NPI 1568473064
Pharmacy - Community/Retail Pharmacy in Dunwoody, GA

Active since August 10, 2006CLIA 11D1078759 · Waiver
4675 N SHALLOWFORD RD, STE 101, DUNWOODY, GA 30338(770) 455-1144(770) 936-8989 Get Directions Write a Review

NPPES record last updated: May 22, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dunwoody Pharmacy NPPES

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

DUNWOODY PHARMACY (NPI 1568473064) is a healthcare organization registered as a community/retail pharmacy in Dunwoody, Georgia and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through January 15, 2028 and lists Charles Wilson, Owner Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1568473064
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePCCA INC
Location Address4675 N SHALLOWFORD RD, STE 101Dunwoody, GA 30338-6309
Mailing Address4675 N Shallowford Rd, Ste 101Dunwoody, GA 30338-6309 · (770) 455-1144 · Fax (770) 936-8989
Phone(770) 455-1144
Fax(770) 936-8989
Organization SubpartNo
Authorized OfficialCharles WilsonOwner Pharmacist · (770) 455-1144
Enumeration DateAugust 10, 2006
Last NPPES UpdateMay 22, 2024
NPPES CertifiedMay 22, 2024
✔ NPI 1568473064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in GA · 6006
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.
4675 N SHALLOWFORD RD, Dunwoody, GA 30338
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Other Names 1

Doing Business AsDunwoody Pharmacy

Other Identifiers 2

Medicaid00655256AGA
Other2015883Pk

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 11D1078759

Dunwoody Pharmacy · Dunwoody, GA
Active · expires Jan 15, 2028
CLIA Number11D1078759
Laboratory TypePharmacy
Certificate Effective DateJanuary 16, 2026
Certificate Expiration DateJanuary 15, 2028
Laboratory DirectorCharles R. Wilson
Laboratory Phone(770) 455-1144
Laboratory LocationDunwoody Pharmacy4675 N Shallowford Road Suite 101, Dunwoody, GA 30338
CLIA data matches this NPI record on: Address 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.
76 services74 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.
76 services74 patients

Other Providers at the Same Location NPPES 9

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

SAMANTHA B GOLD INC
Counselor (Professional)
4675 N SHALLOWFORD RD
DUNWOODY, GA 30338
Dekalb County (678) 555-3735
DUNWOODY NORTHEAST DENTISTRY, LLC
Clinic/Center (Dental)
4675 N SHALLOWFORD RD, SUITE #118
ATLANTA, GA 30338
Dekalb County (770) 452-0222
MR. CHARLES W WILSON JR. PHARMACIST
Pharmacist
4675 N SHALLOWFORD RD, SUITE 101
DUNWOODY, GA 30338
Dekalb County (770) 455-1144
DR. LAWRENCE J. REUTER, P.C.
Chiropractor
4675 N SHALLOWFORD RD, SUITE100
DUNWOODY, GA 30338
Dekalb County (770) 455-4547
WALTER ANDERSON M.D.
Psychiatry & Neurology (Psychiatry)
4675 N SHALLOWFORD RD, SUITE 210
ATLANTA, GA 30338
Dekalb County (770) 936-9403
LEE W. PLUNKETT, D.M.D., P.C.
Dentist (General Practice)
4675 N SHALLOWFORD RD, SUITE 118
DUNWOODY, GA 30338
Dekalb County (770) 452-0222
DR. LEROY BRYCE CARTER PHARM. D.
Pharmacist
4675 N SHALLOWFORD RD, SUITE 101
DUNWOODY, GA 30338
Dekalb County (770) 455-1144
ULIOMA SOTUNDE
Pharmacist
4675 N SHALLOWFORD RD
DUNWOODY, GA 30338
Dekalb County (770) 455-1144

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 Pcca Inc's NPI number?

The NPI number for Pcca Inc is 1568473064. It was assigned to this organization in the NPPES registry on August 10, 2006. The provider is doing business as Dunwoody Pharmacy.

Where is Pcca Inc located?

Pcca Inc is located at 4675 N Shallowford Rd Ste 101, Dunwoody, GA 30338. The listed phone number is (770) 455-1144.

What is Pcca Inc's specialty?

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

Does Pcca Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1078759) is associated with this NPI, valid through January 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pcca 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 Pcca 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 Pcca Inc was last updated on May 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.