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CLINIC PHARMACY
NPI 1639115025
Pharmacy in Toccoa, GA

Active since June 22, 2006
58 BIG A RD, SUITE 101, TOCCOA, GA 30577(706) 886-2151(706) 297-7519 Get Directions Write a Review

NPPES record last updated: July 10, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 10, 2019, Jul 19, 2018, Jun 1, 2017 and 1 more (4 updates tracked since 2016).

About Clinic Pharmacy NPPES

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

CLINIC PHARMACY (NPI 1639115025) is a healthcare organization registered as a pharmacy in Toccoa, Georgia and active in the NPI registry since June 2006. The organization lists Kimberly Beecher Elrod, Owner/pharmacist-in-charge, as its authorized official.

NPPES Registry Identity

NPI1639115025
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameCLINIC PHARMACY INC
Location Address58 BIG A RD, SUITE 101Toccoa, GA 30577-6017
Mailing Address58 Big A Rd, Suite 101Toccoa, GA 30577 · (706) 886-2151 · Fax (706) 297-7519
Phone(706) 886-2151
Fax(706) 297-7519
Organization SubpartNo
Authorized OfficialKimberly Beecher ElrodOwner/pharmacist-in-charge · (706) 886-2151
Enumeration DateJune 22, 2006
Last NPPES UpdateJuly 10, 20194 updates tracked since enumeration
✔ NPI 1639115025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
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.
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X · License PHRE002911 (GA)
58 BIG A RD, Toccoa, GA 30577
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Other Names 1

Doing Business AsClinic Pharmacy

Other Identifiers 2

Medicaid00647017AGA
Other2019114Pk

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 Arkansas Health & Wellness and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clinic Pharmacy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateGeorgiaEnrollment IDO20211008002214Non-DME Part B · Mass Immunization (Roster Biller Only)Due dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Other Providers at the Same Location NPPES 20

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

MR. DAVID L QUINN PA-C
Physician Assistant (Medical)
58 BIG A RD
TOCCOA, GA 30577
Stephens County (706) 827-2607
MRS. KANDI LAUREN WILLIS PA
Physician Assistant
58 BIG A RD
TOCCOA, GA 30577
Stephens County (706) 827-2607
GEORGIA UROLOGY, PA
Urology
58 BIG A RD
TOCCOA, GA 30577
Stephens County (770) 219-8765
DR. KYLER GATOR HAZELETT PHARMD
Pharmacist (Ambulatory Care)
58 BIG A RD
TOCCOA, GA 30577
Stephens County (706) 886-3148
MISTY HOLLOWAY BRYANT FNP
Nurse Practitioner (Family)
58 BIG A RD
TOCCOA, GA 30577
Stephens County (706) 827-2607
TRACI COYNE FNP-C
Nurse Practitioner (Family)
58 BIG A RD
TOCCOA, GA 30577
Stephens County (706) 886-3169
MRS. CRYSTAL KERSEY COTRELL PA-C
Physician Assistant
58 BIG A RD
TOCCOA, GA 30577
Stephens County (706) 282-4200
TRAVIS WELDON DOBBS FNP
Nurse Practitioner (Family)
58 BIG A RD
TOCCOA, GA 30577
Stephens County (706) 886-6819

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 Clinic Pharmacy Inc's NPI number?

The NPI number for Clinic Pharmacy Inc is 1639115025. It was assigned to this organization in the NPPES registry on June 22, 2006. The provider is doing business as Clinic Pharmacy.

Where is Clinic Pharmacy Inc located?

Clinic Pharmacy Inc is located at 58 Big A Rd Suite 101, Toccoa, GA 30577. The listed phone number is (706) 886-2151.

What is Clinic Pharmacy Inc's specialty?

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

Is Clinic Pharmacy Inc enrolled in Medicare?

Yes. Clinic Pharmacy Inc is registered in the Medicare PECOS enrollment system.

When is Clinic Pharmacy Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Georgia, Mass Immunization (Roster Biller Only)) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

What insurance does Clinic Pharmacy Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 44 other insurers list Clinic Pharmacy 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 Clinic Pharmacy Inc was last updated on July 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.