Marketplace Pharmacy LLC
NPI 1306105325 · Pharmacy · Carnesville, GA
Enrolled with Medicare as Part B Supplier - Mass Immunization (roster Biller Only) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Marketplace Pharmacy LLC is a Pharmacy organization in Carnesville, GA (NPI 1306105325).
Provider details
- NPI number
- 1306105325
- Entity type
- Organization
- Primary specialty
- PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Michael Gonzalez, Pharmacist in Charge(706) 384-2085
- License
- PHRE010393 (GA)
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-05-10
- Last updated
- 2022-01-28
- Certified
- 2022-01-28
Frequently asked questions
- What is Marketplace Pharmacy LLC's NPI number?
- Marketplace Pharmacy LLC's National Provider Identifier (NPI) is 1306105325, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Marketplace Pharmacy LLC?
- Marketplace Pharmacy LLC is classified in the NPPES registry as Pharmacy (Suppliers).
- Where is Marketplace Pharmacy LLC located?
- Marketplace Pharmacy LLC's practice location on file with NPPES is 9205 Lavonia Rd, Carnesville, GA 30521-3203.
- What is Marketplace Pharmacy LLC's phone number?
- The practice phone number listed in the NPPES registry for Marketplace Pharmacy LLC is (706) 384-3995.
- Does Marketplace Pharmacy LLC accept Medicare?
- Marketplace Pharmacy LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Marketplace Pharmacy LLC?
- The authorized official listed on Marketplace Pharmacy LLC's NPPES record is Michael Gonzalez, Pharmacist in Charge. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Marketplace Pharmacy LLC's NPI active?
- Yes — Marketplace Pharmacy LLC's NPI (1306105325) is active in the NPPES registry as of the last update on 2022-01-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.