MEDICARE: THE INSTITUTIONAL PHARMACY SERVICES, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

General Provider Information

NPI Number	:	1124954912
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE INSTITUTIONAL PHARMACY SERVICES, INC

Provider Business Mailing Address
First Line	:	507 INDUSTRIAL BLVD
Second Line	:
City	:	DUBLIN
State	:	GA
Zip	:	31021-1714
Country	:	US
Telephone Number	:	478-353-1579
Fax Number	:	877-477-2499

Provider Business Practice Location Address
First Line	:	104 OXMOOR RD STE 136
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35209-5937
Country	:	US
Telephone Number	:	478-353-1579
Fax Number	:	877-477-2499

Authorized Official
Title or Position	:	CEO
Name	:	MR. JERRY BENT GAY JR.
Credential	:	RPH
Telephone Number	:	478-353-1579

Provider Enumeration Date	:	06/20/2026
Last Update Date	:	06/20/2026

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