Pavan Putra Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE010288 Issued in GA

Legal business name

PAVAN PUTRA PHARMACY INC

Doing business as

Apollo Pharmacy

Practice address

414 W Broughton St
Savannah, GA 31401-3218

Phone

(912) 999-6101

Fax

(912) 777-5953

NPI assigned

Apr 15, 2016

Organization subpart

No

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

Authorized official

Name

Kaushal Patel, RPHNPI 1508455973

Title

Owner, Pic, Ao

Phone

(912) 999-6101

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Apollo Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in GA2 enrollments

Enrollment records 2

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kaushal Patel, RPH

  • Pharmacist
  • Savannah, GA
  • NPI 1508455973
  NPD Authorized official
• Dhruminkumar Patel

  • Pharmacist
  • Pooler, GA
  • NPI 1548926389
  NPD
• Tam Vo

  • Pharmacist
  • Savannah, GA
  • NPI 1760101943
  NPD (past)

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

{
    "created_epoch": "1460678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784246400000",
    "number": "1144674193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 W BROUGHTON ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314013218",
            "telephone_number": "912-999-6101",
            "fax_number": "912-777-5953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 W BROUGHTON ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314013218",
            "telephone_number": "912-999-6101",
            "fax_number": "912-777-5953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAVAN PUTRA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-15",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "KAUSHAL",
        "authorized_official_title_or_position": "OWNER, PIC, AO",
        "authorized_official_telephone_number": "912-999-6101",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE010288",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2159627",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003176661A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Apollo Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Analicia Elaina Patterson, NP
• Ashley Patterson
• Christian Rosario Patti, DMD
• Paulsen OB GYN
• Paulsen Street Sugery Center LLC
• Amy J Payne, LCSW
• Peachtree Medical Equipment
• Stephen Wallace Peacock
• Carl Pearl, M.D.
• Eric Michael Pearlman, M.D., PH.D

• Community/Retail Pharmacy in Savannah, GA
• Providers in Savannah, GA by specialty
• Community/Retail Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; 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.