WALMART PHARMACY #1070
NPI 1629480298
Clinic/Center - Community Health in East Ellijay, GA

Active since May 29, 2014CLIA 11D2175395 · Waiver
88 HIGHLAND XING, EAST ELLIJAY, GA 30540(706) 276-1180 Get Directions Write a Review

NPPES record last updated: May 29, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Walmart Pharmacy #1070 NPPES

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

WALMART PHARMACY #1070 (NPI 1629480298) is a healthcare organization registered as a community health in East Ellijay, Georgia and active in the NPI registry since May 2014. The organization holds a CLIA Waiver certificate valid through November 19, 2027 and lists Robyn Carter, Staff Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1629480298
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NameWALMART PHARMACY #1070
Location Address88 HIGHLAND XINGEast Ellijay, GA 30540-6052
Mailing Address405 Riveredge Ln # 9061Ellijay, GA 30540-5390 · (706) 502-2374
Organization SubpartNo
Authorized OfficialRobyn CarterStaff Pharmacist · (706) 502-2374
Enumeration DateMay 29, 2014
NPI 1629480298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1500X
License Licensed in GA · 12398
88 HIGHLAND XING, East Ellijay, GA 30540

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 11D2175395

Walmart Pharmacy 10-1070 · Ellijay, GA
Active · expires Nov 19, 2027
CLIA Number11D2175395
Laboratory TypePharmacy
Certificate Effective DateNovember 20, 2025
Certificate Expiration DateNovember 19, 2027
Laboratory DirectorJaime Erwin
Laboratory Phone(706) 276-1180
Laboratory LocationWalmart Pharmacy 10-107088 Highland Xing, Ellijay, GA 30540
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

Technician/Technologist (Optician)
88 HIGHLAND XING
ELLIJAY, GA 30540
Pharmacy (Community/Retail Pharmacy)
88 HIGHLAND XING
ELLIJAY, GA 30540
Optometrist
88 HIGHLAND XING
ELLIJAY, GA 30540
Pharmacist
88 HIGHLAND XING
EAST ELLIJAY, GA 30540
Eyewear Supplier
88 HIGHLAND XING
EAST ELLIJAY, GA 30540

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 Walmart Pharmacy #1070's NPI number?

The NPI number for Walmart Pharmacy #1070 is 1629480298. It was assigned to this organization in the NPPES registry on May 29, 2014.

Where is Walmart Pharmacy #1070 located?

Walmart Pharmacy #1070 is located at 88 Highland Xing, East Ellijay, GA 30540. The listed phone number is (706) 276-1180.

What is Walmart Pharmacy #1070's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

Does Walmart Pharmacy #1070 hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2175395) is associated with this NPI, valid through November 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Walmart Pharmacy #1070 was last updated on May 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.