VIDALIA PHARMACY INC
VIDALIA PHARMACY INC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1114969342, based in Vidalia, GA. The organization lists 6 taxonomy classifications, with Community/Retail Pharmacy recorded as primary.
Getting there
The practice address on file is 209 JACKSON ST, Vidalia, GA 30474. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 005032 | GA | Community/Retail Pharmacy primary |
This provider holds licence 005032 issued in GA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Community/Retail Pharmacy covers
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. NUCC Health Care Provider Taxonomy, code 3336C0003X
All registered taxonomy codes
This provider registers 6 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 3336C0003X | Community/Retail Pharmacy Community/Retail Pharmacy | 005032 | GA | primary |
| 3336L0003X | Long Term Care Pharmacy Long Term Care Pharmacy | — | — | |
| 3336I0012X | Institutional Pharmacy Institutional Pharmacy | — | — | |
| 3336M0003X | Managed Care Organization Pharmacy Managed Care Organization Pharmacy | — | — | |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | — | |
| 333600000X | Pharmacy | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1114969342 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Jun 12, 2006 |
| Last updated | Nov 23, 2016 |
| Status | Active |
| Practice address |
209 JACKSON ST Vidalia, GA 30474 (912) 537-4134 Fax (912) 537-4169 |
| Other identifiers |
2012881
· PK 0037749A (GA) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 1 | 1 | 4 | 9 | 6 | 9 | 3 | 4 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 2 | 4 | 9 | 6 | 9 | 3 | 8 |
Sum = 68 · next multiple of 10 = 70 · check digit = 2 · actual last digit = 2
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.