Blakely Pharmacy LLC

Blakely Pharmacy LLC is a healthcare organization registered as Pharmacy in Blakely, GA, holding Type 2 (organization) NPI 1629132113 since 2006. The authorized official on file is Leigh Bruner, Pic.

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NPI	1629132113
Entity type	Organization (Type 2)
Legal business name	Blakely Pharmacy LLC
Other name	<Unavail>
Practice address	90 COURT SQ, Blakely, GA, 39823
Phone	2297233441
Fax	2297238707
Enumeration date	2006-12-20
Last updated in NPPES	2016-12-07

Authorized official

Name	Leigh Bruner
Title	Pic
Phone	2297233441

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
333600000X	Pharmacy	Primary	PHRE010001	GA

Other identifiers

Identifier	Type	State	Issuer
2146842	Other	—	PK
000028784A	Medicaid	GA	—

Copy-ready billing details

Provider: Blakely Pharmacy LLC
NPI: 1629132113
Taxonomy: 333600000X (Pharmacy)
Address: 90 COURT SQ, Blakely, GA, 39823

Providers at this address

NPI	Name	Type	Specialty	Location
1437337151	Leigh Bruner	Individual	Pharmacist	Blakely, GA

Verify this record

Cross-check NPI 1629132113 against the authoritative CMS record: view Blakely 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

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2016-12-07. Verify at npiregistry.cms.hhs.gov.

Where is Blakely Pharmacy LLC located?

The practice location on file with NPPES is in Blakely, GA.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2016-12-07.