Georgia Cvs Pharmacy LLC
Georgia Cvs Pharmacy LLC is a healthcare organization registered as Pharmacy in Blakely, GA, holding Type 2 (organization) NPI 1710080551 since 2006. The authorized official on file is Susan Colbert, Director, Payer Relations.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1710080551 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Georgia Cvs Pharmacy LLC |
| Other name | <Unavail> |
| Practice address | 11685 COLUMBIA ST, Blakely, GA, 39823 |
| Phone | 9127234271 |
| Enumeration date | 2006-09-07 |
| Last updated in NPPES | 2014-04-14 |
Authorized official
| Name | Susan Colbert |
|---|---|
| Title | Director, Payer Relations |
| Phone | 4017702751 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 3336C0003X | Community/Retail Pharmacy | Secondary | — | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | GA |
| 333600000X | Pharmacy | Primary | 005504 | GA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000186711A | Medicaid | GA | — |
| 1124623 | Other | — | OTHER ID NUMBER-COMMERCIAL NUMBER |
| 1710080551 | Medicaid | AL | — |
Copy-ready billing details
Provider: Georgia Cvs Pharmacy LLC NPI: 1710080551 Taxonomy: 333600000X (Pharmacy) Address: 11685 COLUMBIA ST, Blakely, GA, 39823
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1760085005 | Melissa Conner | Individual | Pharmacist | Blakely, GA |
| 1972107902 | Tawanna Drake | Individual | Pharmacist | Blakely, GA |
Verify this record
Cross-check NPI 1710080551 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
How current is this record?
Where is Georgia Cvs Pharmacy LLC located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2014-04-14.