Sondial Pharmacy LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

PHRE010308 Issued in GA

Legal business name

SONDIAL PHARMACY LLC

Doing business as

Sondial Pharmacy

Practice address

1670 Scott Blvd
Suite 208
Decatur, GA 30033-5605

Phone

(404) 591-0900

Fax

(404) 591-0909

NPI assigned

Aug 18, 2016

Last updated

Sep 2, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marilyn Watkins

Title

Owner

Phone

(404) 591-0900

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Sondial Pharmacy Doing business as

Tax ID family

Sondial Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Sondial Pharmacy, LLC

  • Pharmacy
  • Decatur, GA
  • NPI 1851666069
  NPD tax ID

Locations

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

{
    "created_epoch": "1471478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472774400000",
    "number": "1023563194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1670 SCOTT BLVD",
            "address_2": "SUITE 208",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300335605",
            "telephone_number": "404-591-0900",
            "fax_number": "404-591-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 SCOTT BLVD",
            "address_2": "SUITE 208",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300335605",
            "telephone_number": "404-591-0900",
            "fax_number": "404-591-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONDIAL PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-18",
        "last_updated": "2016-09-02",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-591-0900"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "GA",
            "license": "PHRE010308",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2163881",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sondial Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Athena H Sotus-Nawar, M.D.

• Pharmacy in Decatur, GA
• Providers in Decatur, GA by specialty
• Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.