PRUITTHEALTH PHARMACY SERVICES - VALDOSTA, INC.
NPI 1609823061
Pharmacy - Long Term Care Pharmacy in Valdosta, GA

Active since May 30, 2006CLIA 11D2204946 · Waiver
1711 RIVER ST, VALDOSTA, GA 31601(229) 244-8868 Get Directions Write a Review

NPPES record last updated: June 3, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Pruitthealth Pharmacy Services - Valdosta, Inc. NPPES

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

PRUITTHEALTH PHARMACY SERVICES - VALDOSTA, INC. (NPI 1609823061) is a healthcare organization registered as a long term care pharmacy in Valdosta, Georgia and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through December 10, 2026 and lists Neil L Pruitt, Chairman And Ceo, as its authorized official.

NPPES Registry Identity

NPI1609823061
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NamePRUITTHEALTH PHARMACY SERVICES - VALDOSTA, INC.
Location Address1711 RIVER STValdosta, GA 31601-5163
Mailing Address1626 Jeurgens CtNorcross, GA 30093-2219 · (678) 533-6382 · Fax (770) 931-5278
Organization SubpartNo
Authorized OfficialNeil L PruittChairman And Ceo · (770) 279-6200
Enumeration DateMay 30, 2006
Last NPPES UpdateJune 3, 2021
NPPES CertifiedJune 3, 2021
NPI 1609823061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition

A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

Also ListedClinical Medical LaboratoryTaxonomy 291U00000X
1711 RIVER ST, Valdosta, GA 31601

Other Identifiers 1

Medicaid00344044AGA

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 11D2204946

Pruitthealth Pharmacy Services-Valdosta, Inc · Valdosta, GA
Active · expires Dec 10, 2026
CLIA Number11D2204946
Laboratory TypePharmacy
Certificate Effective DateDecember 11, 2024
Certificate Expiration DateDecember 10, 2026
Laboratory DirectorKevin Hempe
Laboratory Phone(229) 244-8868
Laboratory LocationPruitthealth Pharmacy Services-Valdosta, Inc1711 River Street, Valdosta, GA 31601
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 6

Medicare supplier enrollment and the product categories United Pharmacy Services Of Valdost carries, from the Medicare DMEPOS supplier directory.

United Pharmacy Services Of Valdost

DMEPOS supplier · Valdosta, GAOperated by Pruitthealth Pharmacy Services - Valdosta, Inc.

Does not accept Medicare assignment

United Pharmacy Services Of Valdost has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20511929
Medicare Participant SinceJuly 11, 2013
Supplier Location1711 River StValdosta, GA 31601
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 2

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

Pharmacist
1711 RIVER ST
VALDOSTA, GA 31601
Pharmacist (Pharmacotherapy)
1711 RIVER ST
VALDOSTA, GA 31601

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 Pruitthealth Pharmacy Services - Valdosta, Inc.'s NPI number?

The NPI number for Pruitthealth Pharmacy Services - Valdosta, Inc. is 1609823061. It was assigned to this organization in the NPPES registry on May 30, 2006.

Where is Pruitthealth Pharmacy Services - Valdosta, Inc. located?

Pruitthealth Pharmacy Services - Valdosta, Inc. is located at 1711 River St, Valdosta, GA 31601. The listed phone number is (229) 244-8868.

What is Pruitthealth Pharmacy Services - Valdosta, Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Does Pruitthealth Pharmacy Services - Valdosta, Inc. accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, United Pharmacy Services Of Valdost does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

Does Pruitthealth Pharmacy Services - Valdosta, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2204946) is associated with this NPI, valid through December 10, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pruitthealth Pharmacy Services - Valdosta, 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 45 other insurers list Pruitthealth Pharmacy Services - Valdosta, 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 Pruitthealth Pharmacy Services - Valdosta, Inc. was last updated on June 3, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.