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Export Provider Record NPI 1053891887
Quinate Pharmacy Llc
Organization Subpart: NO
Active
NPI Number1053891887
NPI TypeNPI-2 Organization
SpecialtyPharmacy, Community/Retail Pharmacy
Provider Details
NPI1053891887
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2018-08-21
Last Updated2020-05-27
Authorized OfficialTracey Leavitt
Managing Partner
Phone: 9125093330
Mailing Address1557 Pooler Pkwy Ste 400
Pooler, GA 31322-4389
United States
Phone: (912) 653-1000 | Fax: (912) 295-4667
📍 View Map
Primary Practice Address546 W Bacon St
Pembroke, GA 31321-4648
United States
Phone: (912) 653-1000 | Fax: (912) 295-4667
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)GAPHRE010656Georgia Board of Pharmacy
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes3336C0003X – Pharmacy, Community/Retail Pharmacy
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About NPI 1053891887

Quinate Pharmacy Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1053891887. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Pembroke, GA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2018-08-21. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1053891887?

NPI 1053891887 belongs to Quinate Pharmacy Llc, a Pharmacy, Community/Retail Pharmacy in Pembroke, GA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1053891887 active?

The current status of NPI 1053891887 in the NPPES registry is Active. The record was last updated on 2020-05-27.

What specialty is NPI 1053891887?

NPI 1053891887 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1053891887?

You can verify NPI 1053891887 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1053891887?

The primary practice address on file for NPI 1053891887 is 546 W Bacon St, Pembroke, GA 31321-4648. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1053891887 issued?

NPI 1053891887 was first issued (enumerated) on 2018-08-21. The NPPES record was last updated on 2020-05-27.

Practice Location Map

Quinate Pharmacy Llc is located at 546 W Bacon St, Pembroke, GA. Use the map below to find directions or verify the practice location.

📍 546 W Bacon St, Pembroke, GA 31321-4648  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Quinate Pharmacy Llc. All records sourced from the CMS NPPES registry.

Data Verified from CMS NPPES Last synced: 2026-06-16 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162