GAINESVILLE PHARMACY LLC
NPI 1710548664
Pharmacy - Community/Retail Pharmacy in Gainesville, GA

Q: What is Gainesville Pharmacy LLC's NPI number?

The NPI number for Gainesville Pharmacy LLC is 1710548664. It was assigned to this organization in the NPPES registry on June 21, 2019.

Q: What is Gainesville Pharmacy LLC's specialty?

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

Active since June 21, 2019

1079 JESSE JEWELL PKWY SW, GAINESVILLE, GA 30501(678) 971-1000(678) 971-1031 Get Directions Write a Review

NPPES record last updated: March 25, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 25, 2020, Jun 21, 2019 (2 updates tracked since 2019).

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About Gainesville Pharmacy Llc NPPES

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

GAINESVILLE PHARMACY LLC (NPI 1710548664) is a healthcare organization registered as a community/retail pharmacy in Gainesville, Georgia and active in the NPI registry since June 2019. The organization lists Itzelis Godreau, Manager, as its authorized official.

NPPES Registry Identity

NPI1710548664

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameGAINESVILLE PHARMACY LLC

Location Address1079 JESSE JEWELL PKWY SWGainesville, GA 30501-6103

Mailing Address3651 Peachtree Parkway Suite E#422Suwanee, GA 30024 · (404) 884-4588 · Fax (678) 971-1031

Phone(678) 971-1000

Fax(678) 971-1031

Organization SubpartNo

Authorized OfficialItzelis GodreauManager · (912) 332-2794

Enumeration DateJune 21, 2019

Last NPPES UpdateMarch 25, 20202 updates tracked since enumeration

NPPES CertifiedMarch 25, 2020

✔ NPI 1710548664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

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.

Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X

1079 JESSE JEWELL PKWY SW, Gainesville, GA 30501

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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 ›

Other Providers at the Same Location NPPES 6

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

NATALI CASTILLO CPHT

Pharmacy Technician