Active NPI
Nugen Pharmacy LLC
- Community/Retail Pharmacy
- Fayetteville, GA
National Provider Identifier
1093013591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- NUGEN PHARMACY LLC
- Practice address
- 101 Yorktown Dr Ste 102
Fayetteville, GA 30214-1568 - Phone
- (404) 849-5154
- NPI assigned
- Mar 8, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Shree Singh
- Title
- President
- Phone
- (334) 207-9706
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
101 Yorktown Dr Ste 102
Fayetteville, GA 30214-1568
Mailing address
2410 Dekalb Medical Pkwy Ste F
Lithonia, GA 30058-4100
National Provider Directory
National Provider DirectoryLocations
2410 DeKalb Medical Pkwy
Ste F
Lithonia, GA 30058
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299542400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1299542400000",
"number": "1093013591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2410 DEKALB MEDICAL PKWY STE F",
"city": "LITHONIA",
"state": "GA",
"postal_code": "300584100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 YORKTOWN DR STE 102",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302141568",
"telephone_number": "404-849-5154"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NUGEN PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-08",
"last_updated": "2011-03-08",
"status": "A",
"authorized_official_last_name": "SINGH",
"authorized_official_first_name": "SHREE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "334-207-9706",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.