Gainesville Pharmacy LLC
NPI 1710548664 · Community/Retail Pharmacy · Gainesville, GA
Enrolled with Medicare as Part B Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Gainesville Pharmacy LLC is a Community/Retail Pharmacy organization in Gainesville, GA (NPI 1710548664).
Provider details
- NPI number
- 1710548664
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Itzelis Godreau, Manager(912) 332-2794
Specialties & taxonomies
Suppliers
- Compounding Pharmacy3336C0004X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
- 2019-06-21
- Last updated
- 2020-03-25
- Certified
- 2020-03-25
Frequently asked questions
- What is Gainesville Pharmacy LLC's NPI number?
- Gainesville Pharmacy LLC's National Provider Identifier (NPI) is 1710548664, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Gainesville Pharmacy LLC?
- Gainesville Pharmacy LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Gainesville Pharmacy LLC located?
- Gainesville Pharmacy LLC's practice location on file with NPPES is 1079 Jesse Jewell Pkwy Sw, Gainesville, GA 30501-6103.
- What is Gainesville Pharmacy LLC's phone number?
- The practice phone number listed in the NPPES registry for Gainesville Pharmacy LLC is (678) 971-1000.
- Does Gainesville Pharmacy LLC accept Medicare?
- Gainesville 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 Gainesville Pharmacy LLC?
- The authorized official listed on Gainesville Pharmacy LLC's NPPES record is Itzelis Godreau, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Gainesville Pharmacy LLC's NPI active?
- Yes — Gainesville Pharmacy LLC's NPI (1710548664) is active in the NPPES registry as of the last update on 2020-03-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.