INGLES PHARMACY #409
NPI 1801151287
Pharmacy - Community/Retail Pharmacy in Ellijay, GA

Active since July 11, 2012CLIA 11D2184994 · Waiver
100 OLD ORCHARD SQUARE, ELLIJAY, GA 30540(706) 635-7176(706) 635-1479 Get Directions Write a Review

NPPES record last updated: August 15, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 15, 2019, Feb 13, 2019 (2 updates tracked since 2019).

About Ingles Pharmacy #409 NPPES

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

INGLES PHARMACY #409 (NPI 1801151287) is a healthcare organization registered as a community/retail pharmacy in Ellijay, Georgia and active in the NPI registry since July 2012. The organization holds a CLIA Waiver certificate valid through May 27, 2028 and lists Stephen V Cucchi, Vp Of Pharmacy, as its authorized official.Information from the official NPPES registry record.

NPPES Registry Identity

NPI1801151287
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameINGLES MARKETS INC
Location Address100 OLD ORCHARD SQUAREEllijay, GA 30540-8172
Mailing AddressPo Box 603941Charlotte, NC 28260-3941 · (828) 669-2941 · Fax (828) 669-3685
Fax(706) 635-1479
Organization SubpartNo
Authorized OfficialStephen V CucchiVp Of Pharmacy · (828) 669-2941
Enumeration DateJuly 11, 2012
Last NPPES UpdateAugust 15, 20192 updates tracked since enumeration
NPI 1801151287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in GA · PHRE009827
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.

100 OLD ORCHARD SQUARE, Ellijay, GA 30540

Other Names 1

Doing Business AsIngles Pharmacy #409

Other Identifiers 1

Medicaid003125703AGA

Accepted Insurance

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Administration of influenza virus vaccine

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

This service was performed 226 times for 225 patients

Administration of pneumococcal vaccine

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

This service was performed 17 times for 17 patients

Influenza vaccine, inactivated

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

This service was performed 212 times for 212 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

This service was performed 17 times for 17 patients

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20521823
Accepts Medicare Assignment
YES
Specialities List
Pharmacy, Grocery Store.
Competitive Bidding
NO

Supplies List

  • Immunosuppressive Drugs - Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
  • 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
  • Blood Glucose Monitors/Supplies (Non-Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
11D2184994
Facility Type
Pharmacy
Certificate Effective Date
May 28, 2026
Certificate Expiration Date
May 27, 2028
Laboratory Director
CAROLINE CECKA DUTY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Ingles Pharmacy #409 to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for INGLES PHARMACY #409

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801151287, enumerated as an "organization" on July 11, 2012.

The provider is located at 100 OLD ORCHARD SQUARE ELLIJAY, GA 30540 and the phone number is (706) 635-7176.

Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to verify.