Eldercare Pharmacy – Long Term Care Pharmacy, NPI 1255323788

Eldercare Pharmacy is a healthcare provider. based in Hawkinsville, Georgia. specializing in Long Term Care Pharmacy. The NPI Number for Eldercare Pharmacy is 1255323788

Main info

Organization
Name
Eldercare Pharmacy
NPI
1255323788
Phone
(478) 783-1515
Address
342 INDUSTRIAL BLVD
Authorized Official
MR. JAMES RUSTY LEE JR. SENIOR VICE PRESIDENT RPH
Enumeration Date
19 August 2005
Last Update Date
11 March 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness80
Years active:20State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Eldercare Pharmacy

  • Industrial Boulevard, Hawkinsville, Pulaski County, Georgia, 31036, United States

    SUITE A

    HAWKINSVILLE, GA 310362106

    Phone: (478) 783-1515

    Fax: (478) 783-1404

    Type: Location

  • PO BOX 997

    HAWKINSVILLE, GA 310360997

    Phone: (478) 783-1515

    Fax: (478) 783-1404

    Type: Mailing

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: 2021-03-16

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2026-03-31 (76 days ago).

Enrollment records

1

Earliest due date

2026-03-31

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
O20210316000976OPharmacyGA2026-03-31

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
0134AAdm sarscv2 bvl 50mcg/.5ml a396393$0
0012AIntramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 100 mcg/0.5ml dosage; second dose1414$0
View full utilization report →

Insurance plans in this area (ZIP 31036)

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Reviews

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Frequently asked questions

What is the standard ID for Eldercare Pharmacy in the U.S.?
In the U.S., Eldercare Pharmacy is identified by NPI 1255323788.
Quick check: is Eldercare Pharmacy active?
Public NPPES data shows Eldercare Pharmacy with an active NPI status right now.
What does the directory say Eldercare Pharmacy does?
Insurance directories may phrase it differently, but here Eldercare Pharmacy maps to Long Term Care Pharmacy. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Eldercare Pharmacy?
Eldercare Pharmacy is associated with Hawkinsville, Georgia in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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