NPIMap

Organization Active NPI

Saks Ga LLC

  • Compounding Pharmacy
  • Saint Marys, GA
National Provider Identifier
1104551092
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
Legal business name
SAKS GA LLC
Practice address
2714 Osborne Rd Ste K
Saint Marys, GA 31558-4050
Phone
(904) 368-6785
NPI assigned
Jul 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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

Authorized official

Name
Gunjan Wadhwa
Title
Ao
Phone
(912) 226-7622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Compounding Pharmacy 3336C0004X Primary

Addresses

Primary practice location

2714 Osborne Rd Ste K
Saint Marys, GA 31558-4050

Mailing address

PO Box 600841
Saint Johns, FL 32260-0841

Other names 1

  • 15MINRX Doing business as

National Provider Directory

National Provider Directory
Tax ID family
15Minrx3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

2714 Osborne Rd
Ste K
Saint Marys, GA 31558
Phone (904) 368-6785

NPI Registry JSON

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

{
    "created_epoch": "1658534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708041600000",
    "number": "1104551092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 600841",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322600841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2714 OSBORNE RD STE K",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315584050",
            "telephone_number": "904-368-6785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAKS GA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-23",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A",
        "authorized_official_last_name": "WADHWA",
        "authorized_official_first_name": "GUNJAN",
        "authorized_official_title_or_position": "AO",
        "authorized_official_telephone_number": "912-226-7622"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "15MINRX",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "15MINRX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Marys, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; 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.