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RIVER EDGE RECOVERY CENTER PHARMACY
NPI 1720538960
Pharmacy in Macon, GA

Active since October 12, 2016CLIA 11D0946620 · Waiver
3575 FULTON MILL RD, MACON, GA 31206(478) 803-7650 Get Directions Write a Review

NPPES record last updated: October 12, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About River Edge Recovery Center Pharmacy NPPES

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

RIVER EDGE RECOVERY CENTER PHARMACY (NPI 1720538960) is a healthcare organization registered as a pharmacy in Macon, Georgia and active in the NPI registry since October 2016. The organization holds a CLIA Waiver certificate valid through May 28, 2028 and lists Bryan Layman, Pharmacy Director, as its authorized official.

NPPES Registry Identity

NPI1720538960
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameRIVER EDGE RECOVERY CENTER PHARMACY
Location Address3575 FULTON MILL RDMacon, GA 31206-5125
Mailing Address175 Emery HwyMacon, GA 31217-3692
Phone(478) 803-7650
Organization SubpartYesParent: River Edge Behavioral Health Center
Authorized OfficialBryan LaymanPharmacy Director · (478) 803-7650
Enumeration DateOctober 12, 2016
✔ NPI 1720538960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in GA · PHRE007084
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.
3575 FULTON MILL RD, Macon, GA 31206
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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 11D0946620

River Edge Recovery Center · Macon, GA
Active · expires May 28, 2028
CLIA Number11D0946620
Laboratory TypeOther
Certificate Effective DateMay 29, 2026
Certificate Expiration DateMay 28, 2028
Laboratory DirectorFrank Fields
Laboratory Phone(912) 751-4519
Laboratory LocationRiver Edge Recovery Center3575 Fulton Mill Rd, Macon, GA 31206
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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.

RIVER EDGE BEHAVIORAL HEALTH CENTER
Community/Behavioral Health
3575 FULTON MILL RD
MACON, GA 31206
Bibb County (478) 471-5702
CHARLEITTE PHILLIPS FNP-BC
Nurse Practitioner (Adult Health)
3575 FULTON MILL RD
MACON, GA 31206
Bibb County (478) 803-7600

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 River Edge Recovery Center Pharmacy's NPI number?

The NPI number for River Edge Recovery Center Pharmacy is 1720538960. It was assigned to this organization in the NPPES registry on October 12, 2016.

Where is River Edge Recovery Center Pharmacy located?

River Edge Recovery Center Pharmacy is located at 3575 Fulton Mill Rd, Macon, GA 31206. The listed phone number is (478) 803-7650.

What is River Edge Recovery Center Pharmacy's specialty?

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

Does River Edge Recovery Center Pharmacy hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0946620) is associated with this NPI, valid through May 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for River Edge Recovery Center Pharmacy was last updated on October 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.