HIS CARE LLC NPI 1811097587

NPI Information

  • NPI: 1811097587
  • Provider Name: HIS CARE LLC
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Doing Business As: THE DRUG STORE
  • Address: 305 E LONG ST
    CLAXTON, GA
    ZIP 30417
  • Phone: (912) 739-9393

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NPI Details

HIS CARE LLC is a community/retail pharmacy pharmacy in Claxton, GA. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. HIS CARE LLC NPI is 1811097587. The provider is registered as an organization entity type.
The provider Is Doing Business As The Drug Store.

The provider's business location address is:

305 E LONG ST
CLAXTON, GA
ZIP 30417-411
Phone: (912) 739-9393
Fax: (912) 739-9033

The provider's authorized official is Anthony Hethcox .
The authorized official title is Owner and has the following contact phone number (912) 739-9393.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
  • Administration of influenza virus vaccine (HCPCS:G0008)

The enumeration date for this NPI number is 9/23/2006 and was last updated on 9/22/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336C0004XPharmacyCompounding PharmacyNo
33336C0003XPharmacyCommunity/Retail PharmacyPHRE008624GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12014598OTHERPK
2944541867AMEDICAIDGEORGIA
3944541867BMEDICAIDGEORGIA
46061370002MEDICARE NSC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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