Active NPI
Gregory Ayuk, PHARMD
- Pharmacist
- Kennesaw, GA
National Provider Identifier
1093099731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 015512
- Practice address
- 4360 Bells Ferry Rd NW
Kennesaw, GA 30144-1354 - Phone
- (678) 445-5064
- NPI assigned
- Sep 29, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 015512 | KY | Primary |
Addresses
Primary practice location
4360 Bells Ferry Rd NW
Kennesaw, GA 30144-1354
Mailing address
402 Second Street
Henderson, KY 42420
Phone (270) 830-6502
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015512 | KY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co. | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Kennesaw, GA
- NPI 1598770604
-
- Pharmacy
- Longview, TX
- NPI 1629956545
-
- Pharmacy
- Henderson, KY
- NPI 1457453714
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671494400000",
"number": "1093099731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 SECOND STREET",
"city": "HENDERSON",
"state": "KY",
"postal_code": "42420",
"telephone_number": "270-830-6502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4360 BELLS FERRY RD NW",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301441354",
"telephone_number": "678-445-5064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AYUK",
"first_name": "GREGORY",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-09-29",
"last_updated": "2022-12-20",
"certification_date": "2022-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "015512",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kennesaw, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.