1. Home
  2. Directory
  3. Georgia
  4. Eastman
  5. Pharmacy
  6. NPI Profile

MEDICAL CENTER PRESCRIPTION SHOP
NPI 1598721086
Pharmacy in Eastman, GA

Active since April 24, 2006CLIA 11D2138138 · Waiver
710 MEDICAL CENTER DR, EASTMAN, GA 31023(478) 374-5514(478) 374-8617 Get Directions Write a Review

NPPES record last updated: July 27, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Medical Center Prescription Shop NPPES

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

MEDICAL CENTER PRESCRIPTION SHOP (NPI 1598721086), doing business as Prescription Shop, is a healthcare organization registered as a pharmacy in Eastman, Georgia and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through October 10, 2027 and lists Michael Frederick Dwozan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1598721086
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameMEDICAL CENTER PRESCRIPTION SHOP
Location Address710 MEDICAL CENTER DREastman, GA 31023
Mailing Address710 Medical Center DrEastman, GA 31023 · (478) 374-5514 · Fax (478) 374-8617
Phone(478) 374-5514
Fax(478) 374-8617
Organization SubpartNo
Authorized OfficialMichael Frederick DwozanCeo · (478) 374-5514
Enumeration DateApril 24, 2006
Last NPPES UpdateJuly 27, 2025
NPPES CertifiedJuly 27, 2025
✔ NPI 1598721086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in GA · PHRE006118
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.
710 MEDICAL CENTER DR, Eastman, GA 31023
Open in Google Maps ↗

Other Names 1

Doing Business AsPrescription Shop

Other Identifiers 1

Medicaid00031864AGA

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 11D2138138

Medical Center Prescription Shop · Eastman, GA
Active · expires Oct 10, 2027
CLIA Number11D2138138
Laboratory TypePharmacy
Certificate Effective DateOctober 11, 2025
Certificate Expiration DateOctober 10, 2027
Laboratory DirectorEmory F. Peacock
Laboratory Phone(478) 374-5514
Laboratory LocationMedical Center Prescription Shop710 Medical Center Drive, Eastman, GA 31023
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.

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.
37 services36 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.
36 services35 patients

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.

JAMES MICHAEL MULLIS
Pharmacist
710 MEDICAL CENTER DR
EASTMAN, GA 31023
Dodge County (478) 374-5514
MEDICAL CENTER PRESCRIPTION SHOP
Pharmacy (Long Term Care Pharmacy)
710 MEDICAL CENTER DR
EASTMAN, GA 31023
Dodge County (478) 374-5514
EMORY F PEACOCK
Pharmacist
710 MEDICAL CENTER DR
EASTMAN, GA 31023
Dodge County (478) 374-5514

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 Medical Center Prescription Shop's NPI number?

The NPI number for Medical Center Prescription Shop is 1598721086. It was assigned to this organization in the NPPES registry on April 24, 2006. The provider is doing business as Prescription Shop.

Where is Medical Center Prescription Shop located?

Medical Center Prescription Shop is located at 710 Medical Center Dr, Eastman, GA 31023. The listed phone number is (478) 374-5514.

What is Medical Center Prescription Shop's specialty?

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

Does Medical Center Prescription Shop hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2138138) is associated with this NPI, valid through October 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Medical Center Prescription Shop 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 Medical Center Prescription Shop 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 Medical Center Prescription Shop was last updated on July 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.