Organization Active NPI

Nugen Pharmacy LLC

  • Community/Retail Pharmacy
  • Fayetteville, GA
National Provider Identifier
1093013591
Registry record updated Mar 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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

Updated by the provider on Mar 8, 2011

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.