Organization Active NPI

Narayan 56 Pharmacy LLC

  • Community/Retail Pharmacy
  • Trenton, GA
National Provider Identifier
1104581628
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
NARAYAN 56 PHARMACY LLC
Practice address
11969 S Main St
Trenton, GA 30752-2855
Phone
(706) 500-1301
Fax
(706) 500-1302
NPI assigned
Nov 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

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

Authorized official

Name
Ritaben Darshit Shah, RPHNPI 1154982965
Title
Owner/ Pharmacy Manager
Phone
(706) 500-1301

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

11969 S Main St
Trenton, GA 30752-2855

Mailing address

11969 S Main St
Trenton, GA 30752-2855
Phone (706) 500-1301

Other names 1

  • TRENTON PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220506000644 GA Part B Supplier - Pharmacy 9032596358 Practice locations: Trenton, GA

National Provider Directory

National Provider Directory

Locations

11969 S Main St
Trenton, GA 30752
Phone (706) 500-1301

Practitioners & affiliated clinicians

Practitioners 1

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": "1635724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639699200000",
    "number": "1104581628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11969 S MAIN ST",
            "city": "TRENTON",
            "state": "GA",
            "postal_code": "307522855",
            "telephone_number": "706-500-1301",
            "fax_number": "706-500-1302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11969 S MAIN ST",
            "city": "TRENTON",
            "state": "GA",
            "postal_code": "307522855",
            "telephone_number": "706-500-1301",
            "fax_number": "706-500-1302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NARAYAN 56 PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-01",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "RITABEN",
        "authorized_official_middle_name": "DARSHIT",
        "authorized_official_title_or_position": "OWNER/ PHARMACY MANAGER",
        "authorized_official_telephone_number": "706-500-1301",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TRENTON PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Trenton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.