Powell's Bloomfield Pharmacy – Community/Retail Pharmacy, NPI 1801881545

Powell's Bloomfield Pharmacy is a healthcare provider. based in Macon, Georgia. specializing in Community/Retail Pharmacy. The organization holds a License No. PHRE006040 (GA). The NPI Number for Powell's Bloomfield Pharmacy is 1801881545

Main info

Organization
Name
Powell's Bloomfield Pharmacy
NPI
1801881545
Phone
(478) 781-1213
Address
4839 BLOOMFIELD RD
Authorized Official
MR. ROBERT BENJAMIN MOODY III PHARMACIST R.PH.
Enumeration Date
19 September 2005
Last Update Date
20 May 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness80
Years active:20State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Powell's Bloomfield Pharmacy

  • 4839, Bloomfield Road, Christian Rest, Macon, Bibb County, Georgia, 31206, United States

    MACON, GA 312064307

    Phone: (478) 781-1213

    Fax: (478) 788-9078

    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: 2013-10-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2025-06-30 (347 days ago).

Enrollment records

1

Earliest due date

2025-06-30

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
O20131014001815OMass Immunization (Roster Biller Only)GA2025-06-30

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
90480Admn sarscov2 vacc 1 dose3838$0
91322Sarscov2 vac 50 mcg/0.5ml im2828$0
View full utilization report →

Insurance plans in this area (ZIP 31206)

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Reviews

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Frequently asked questions

What is the registry number for Powell's Bloomfield Pharmacy?
The registry entry for Powell's Bloomfield Pharmacy shows NPI 1801881545.
Is Powell's Bloomfield Pharmacy currently accepting referrals based on NPI status?
Registry metadata lists Powell's Bloomfield Pharmacy as active.
What type of care does Powell's Bloomfield Pharmacy provide?
Powell's Bloomfield Pharmacy's profile centers on Community/Retail Pharmacy. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Powell's Bloomfield Pharmacy?
Powell's Bloomfield Pharmacy is associated with Macon, Georgia in the same public data insurers reference.
Who maintains Powell's Bloomfield Pharmacy's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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