IHS PHARMACY #1 – Community/Retail Pharmacy, NPI 1215912886

IHS PHARMACY #1 is a healthcare provider. based in Metter, Georgia. specializing in Community/Retail Pharmacy. The organization holds a License No. PHRE008251 (GA). The NPI Number for IHS PHARMACY #1 is 1215912886

Main info

Organization
Name
IHS PHARMACY #1
NPI
1215912886
Phone
(912) 685-2803
Address
150 S LEROY ST
Authorized Official
DEAN STONE PHARMACIST/OWNER BS PHARM
Enumeration Date
7 December 2005
Last Update Date
4 January 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness80
Years active:20State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for IHS PHARMACY #1

  • IHS Pharmacy & Gifts, 150, South Leroy Street, Metter, Candler County, Georgia, 30439, United States

    METTER, GA 304394631

    Phone: (912) 685-2803

    Fax: (912) 685-3777

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-06-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-02-29 (834 days ago).

Enrollment records

2

Earliest due date

2024-02-29

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20100930066551OPharmacyGA2026-08-31
O20170621000853OPharmacyGA2024-02-29

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
G0008Administration of influenza virus vaccine5858$0
90694Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage4646$0
90480Admn sarscov2 vacc 1 dose1919$0
91322Sarscov2 vac 50 mcg/0.5ml im1919$0
View full utilization report →

Insurance plans in this area (ZIP 30439)

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Reviews

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Frequently asked questions

Can I verify IHS PHARMACY #1 with an NPI only?
You can start verification with NPI 1215912886 for IHS PHARMACY #1, then check state licensing separately.
Can I rely on IHS PHARMACY #1 being an active provider?
As of the registry snapshot, IHS PHARMACY #1 is marked active.
What taxonomy line describes IHS PHARMACY #1?
For research purposes, treat IHS PHARMACY #1 as Community/Retail Pharmacy in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for IHS PHARMACY #1?
IHS PHARMACY #1's geographic hint is Metter, Georgia in our summary view.
Is the information about IHS PHARMACY #1 up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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