Gainesville Pharmacy LLC
Gainesville Pharmacy LLC is a healthcare organization registered as Community/Retail Pharmacy in Gainesville, GA, holding Type 2 (organization) NPI 1710548664 since 2019. The authorized official on file is Itzelis Godreau, Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1710548664 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Gainesville Pharmacy LLC |
| Practice address | 1079 JESSE JEWELL PKWY SW, Gainesville, GA, 30501 |
| Phone | 6789711000 |
| Fax | 6789711031 |
| Enumeration date | 2019-06-21 |
| Last updated in NPPES | 2020-03-25 |
Authorized official
| Name | Itzelis Godreau |
|---|---|
| Title | Manager |
| Phone | 9123322794 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 3336C0004X | Compounding Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | — | — |
Copy-ready billing details
Provider: Gainesville Pharmacy LLC NPI: 1710548664 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 1079 JESSE JEWELL PKWY SW, Gainesville, GA, 30501
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1700863347 | Mimbs Drug Co. | Organization | Pharmacy | Gainesville, GA |
| 1386787265 | Natali Castillo | Individual | Pharmacy Technician | Gainesville, GA |
| 1811030711 | Vicenta Turner | Individual | Pharmacy Technician | Gainesville, GA |
| 1801911607 | Carl Parker | Individual | Pharmacist | Gainesville, GA |
| 1922358860 | Itzelis Godreau | Individual | Pharmacist | Gainesville, GA |
| 1871180620 | Summer Forte | Individual | Pharmacist | Gainesville, GA |
Verify this record
Cross-check NPI 1710548664 against the authoritative CMS record: view Gainesville 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 a Type 2 NPI?
What type of organization is Gainesville Pharmacy LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-03-25.