PRUITTHEALTH PHARMACY SERVICES - TOCCOA
NPI 1902853112
Pharmacy - Long Term Care Pharmacy in Toccoa, GA

Active since May 31, 2006CLIA 11D2204948 · Waiver
377 NORTH POND STREET, TOCCOA, GA 30577(706) 886-7787(706) 886-2939 Get Directions Write a Review

NPPES record last updated: March 27, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pruitthealth Pharmacy Services - Toccoa NPPES

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

PRUITTHEALTH PHARMACY SERVICES - TOCCOA (NPI 1902853112) is a healthcare organization registered as a long term care pharmacy in Toccoa, Georgia and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through December 10, 2026 and lists Neil L Pruitt, Chairman And Ceo, as its authorized official.

NPPES Registry Identity

NPI1902853112
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NamePRUITTHEALTH PHARMACY SERVICES, INC.
Location Address377 NORTH POND STREETToccoa, GA 30577-1920
Mailing Address1626 Jeurgens CtNorcross, GA 30093-2219 · (770) 279-6200 · Fax (770) 279-6200
Fax(706) 886-2939
Organization SubpartNo
Authorized OfficialNeil L PruittChairman And Ceo · (770) 279-6200
Enumeration DateMay 31, 2006
Last NPPES UpdateMarch 27, 2014
NPI 1902853112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
377 NORTH POND STREET, Toccoa, GA 30577

Other Names 1

Doing Business AsPruitthealth Pharmacy Services - Toccoa

Other Identifiers 3

Medicare NSC0923360001GA
Medicaid0116756NC
Medicaid00033767AGA

Accepted Insurance

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 11D2204948

Pruitthealth Pharmacy Services, Inc Dba Pruitthealth Pharmacy-Toccoa · Toccoa, GA
Active · expires Dec 10, 2026
CLIA Number11D2204948
Laboratory TypePharmacy
Certificate Effective DateDecember 11, 2024
Certificate Expiration DateDecember 10, 2026
Laboratory DirectorSherry Williams
Laboratory Phone(706) 886-7787
Laboratory LocationPruitthealth Pharmacy Services, Inc Dba Pruitthealth Pharmacy-Toccoa377 North Pond Street, Toccoa, GA 30577
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Pruitthealth Pharmacy Services, Inc.'s NPI number?

The NPI number for Pruitthealth Pharmacy Services, Inc. is 1902853112. It was assigned to this organization in the NPPES registry on May 31, 2006. The provider is doing business as Pruitthealth Pharmacy Services - Toccoa.

Where is Pruitthealth Pharmacy Services, Inc. located?

Pruitthealth Pharmacy Services, Inc. is located at 377 North Pond Street, Toccoa, GA 30577. The listed phone number is (706) 886-7787.

What is Pruitthealth Pharmacy Services, Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Does Pruitthealth Pharmacy Services, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2204948) is associated with this NPI, valid through December 10, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pruitthealth Pharmacy Services, Inc. accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 45 other insurers list Pruitthealth Pharmacy Services, 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 Pruitthealth Pharmacy Services, Inc. was last updated on March 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.