WS and Sky Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE009522 Issued in GA

Legal business name

WS AND SKY INC

Doing business as

Shinns Pharmacy

Practice address

2790 Lawrenceville Suwanee Rd
Ste 150
Suwanee, GA 30024-2671

Phone

(770) 932-3023

Fax

(770) 932-2314

NPI assigned

Nov 10, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sara Yim, RPH

Title

Mgmnt, Pic

Phone

(770) 932-3023

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Shinns Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1226275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427673600000",
    "number": "1003060609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2790 LAWRENCEVILLE SUWANEE RD",
            "address_2": "STE 150",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300242671",
            "telephone_number": "770-932-3023",
            "fax_number": "770-932-2314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2790 LAWRENCEVILLE SUWANEE RD",
            "address_2": "STE 150",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300242671",
            "telephone_number": "770-932-3023",
            "fax_number": "770-932-2314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WS AND SKY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-10",
        "last_updated": "2015-03-30",
        "status": "A",
        "authorized_official_last_name": "YIM",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "MGMNT, PIC",
        "authorized_official_telephone_number": "770-932-3023",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE009522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "329434653A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2117750",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shinns Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Sue Wozniak, D.C.
• Alyssa Rene Wright, APC
• Carolanne Wright
• Faith Wright
• Trudy Felecia Wright, PHARMD
• Chene Wyatt, OTRL
• Xcell Medical Supply
• Jingyao Martha Xu, BCBA
• Jiadong Yang, PHARMD
• Soo Yang, MT

• Community/Retail Pharmacy in Suwanee, GA
• Providers in Suwanee, GA by specialty
• Community/Retail Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.