Organization Active NPI

Ayush and Ayan LLC

  • Community/Retail Pharmacy
  • Loganville, GA
National Provider Identifier
1063002186
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
AYUSH AND AYAN LLC
Practice address
101 Tara Commons Dr Ste 100
Loganville, GA 30052-8018
Phone
(770) 655-0286
NPI assigned
Jan 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2021

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

Authorized official

Name
Aakash PatelNPI 1700487097
Title
Ceo
Phone
(770) 655-0286

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

101 Tara Commons Dr Ste 100
Loganville, GA 30052-8018

Mailing address

101 Tara Commons Dr Ste 100
Loganville, GA 30052-8018
Phone (770) 655-0286

Other names 1

  • West End Pharmacy - 2 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210402000535 GA Part B Supplier - Mass Immunization (Roster Biller Only) 9032526306 Practice locations: Loganville, GA
O20220225000931 GA Part B Supplier - Pharmacy 9032526306 Practice locations: Loganville, GA

National Provider Directory

National Provider Directory
Tax ID family
West End 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.

Locations

101 Tara Commons Dr
#100
Loganville, GA 30052
Phone (470) 220-7232

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1611273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612224000000",
    "number": "1063002186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 TARA COMMONS DR STE 100",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300528018",
            "telephone_number": "770-655-0286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 TARA COMMONS DR STE 100",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300528018",
            "telephone_number": "770-655-0286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AYUSH AND AYAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-22",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "AAKASH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-655-0286"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West End Pharmacy - 2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Loganville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.