Georgia Cvs Pharmacy LLC
Georgia Cvs Pharmacy LLC is a healthcare organization registered as Pharmacy in Toccoa, GA, holding Type 2 (organization) NPI 1114020864 since 2006. The authorized official on file is Susan Colbert, Exec Dir, Rx Services.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1114020864 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Georgia Cvs Pharmacy LLC |
| Other name | <Unavail> |
| Practice address | 959 BIG A RD, Toccoa, GA, 30577 |
| Phone | 7068866876 |
| Enumeration date | 2006-09-07 |
| Last updated in NPPES | 2023-01-13 |
Authorized official
| Name | Susan Colbert |
|---|---|
| Title | Exec Dir, Rx Services |
| Phone | 4017702751 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | GA |
| 3336C0003X | Community/Retail Pharmacy | Secondary | — | — |
| 333600000X | Pharmacy | Primary | 004115 | GA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1101790 | Other | — | OTHER ID NUMBER-COMMERCIAL NUMBER |
| 000034493A | Medicaid | GA | — |
Copy-ready billing details
Provider: Georgia Cvs Pharmacy LLC NPI: 1114020864 Taxonomy: 333600000X (Pharmacy) Address: 959 BIG A RD, Toccoa, GA, 30577
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1255935417 | Keaton Clark | Individual | Pharmacist | Toccoa, GA |
| 1366032807 | Allison Bentley | Individual | Pharmacist | Toccoa, GA |
| 1679163992 | Herschel Mize | Individual | Pharmacist | Toccoa, GA |
| 1093306680 | Austin Thaxton | Individual | Pharmacist | Toccoa, GA |
| 1548851033 | Cecil Reno | Individual | Pharmacist | Toccoa, GA |
Verify this record
Cross-check NPI 1114020864 against the authoritative CMS record: view Georgia Cvs Pharmacy LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Georgia Cvs Pharmacy LLC?
Who is the authorized official for Georgia Cvs Pharmacy LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-01-13.