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HEPHZIBAH PHARMACY LLC
NPI 1851434336
Pharmacy - Community/Retail Pharmacy in Hephzibah, GA

Active since February 15, 2007CLIA 11D2213594 · Waiver
4819 WINDSOR SPRING RD, HEPHZIBAH, GA 30815(706) 592-4646(706) 592-4618 Get Directions Write a Review

NPPES record last updated: April 22, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Hephzibah Pharmacy Llc NPPES

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

HEPHZIBAH PHARMACY LLC (NPI 1851434336) is a healthcare organization registered as a community/retail pharmacy in Hephzibah, Georgia and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through February 14, 2027 and lists Kenneth Flakes, Owner, as its authorized official.

NPPES Registry Identity

NPI1851434336
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameHEPHZIBAH PHARMACY LLC
Location Address4819 WINDSOR SPRING RDHephzibah, GA 30815-4848
Mailing AddressPo Box 265Hephzibah, GA 30815-0265 · (706) 592-4646 · Fax (706) 592-4618
Phone(706) 592-4646
Fax(706) 592-4618
Organization SubpartNo
Authorized OfficialKenneth FlakesOwner · (706) 592-4646
Enumeration DateFebruary 15, 2007
Last NPPES UpdateApril 22, 2016
✔ NPI 1851434336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in GA · PHRE004580
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 ListedPharmacyTaxonomy 333600000X
4819 WINDSOR SPRING RD, Hephzibah, GA 30815
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Other Names 1

Doing Business AsHephzibah Pharmacy Llc

Other Identifiers 4

Other2012942Pk
Medicare PIN511G730027
Medicaid00037848AGA
Medicare NSC7240150001

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 11D2213594

Hephizbah Pharmacy · Hephzibah, GA
Active · expires Feb 14, 2027
CLIA Number11D2213594
Laboratory TypePharmacy
Certificate Effective DateFebruary 15, 2025
Certificate Expiration DateFebruary 14, 2027
Laboratory DirectorSonya F. Padgett
Laboratory Phone(706) 592-4646
Laboratory LocationHephizbah Pharmacy4819 Windsor Spring Road, Hephzibah, GA 30815
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

SONYA FLAKES PADGETT PHARM D
Pharmacy (Community/Retail Pharmacy)
4819 WINDSOR SPRING RD
HEPHZIBAH, GA 30815
Richmond County (706) 592-4646
HEPHZIBAH DRUG LLC
Pharmacy (Long Term Care Pharmacy)
4819 WINDSOR SPRING RD
HEPHZIBAH, GA 30815
Richmond County (706) 592-4646
HEPHZIBAH DRUG LLC
Pharmacy (Community/Retail Pharmacy)
4819 WINDSOR SPRING RD
HEPHZIBAH, GA 30815
Richmond County (706) 592-4646

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 Hephzibah Pharmacy LLC's NPI number?

The NPI number for Hephzibah Pharmacy LLC is 1851434336. It was assigned to this organization in the NPPES registry on February 15, 2007.

Where is Hephzibah Pharmacy LLC located?

Hephzibah Pharmacy LLC is located at 4819 Windsor Spring Rd, Hephzibah, GA 30815. The listed phone number is (706) 592-4646.

What is Hephzibah Pharmacy LLC's specialty?

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

Does Hephzibah Pharmacy LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2213594) is associated with this NPI, valid through February 14, 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 Hephzibah Pharmacy LLC was last updated on April 22, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.