OrganizationActive
Pine Mountain Pharmacy, Inc
NPI 1447280672 · Community/Retail Pharmacy · Pine Mountain, GA
Provider details
- NPI number
- 1447280672
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Charles Storey, President Owner(706) 663-2255
- License
- 158 (GA)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
145 N Main Ave
Pine Mountain, GA 31822-0500
Phone: (706) 663-2255
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box a
Pine Mountain, GA 31822-0500
Registry dates
- Enumerated
- 2006-07-04
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.