Organization Active NPI

Benzerpharmacyathens LLC

  • Community/Retail Pharmacy
  • Lawrenceville, GA
National Provider Identifier
1144761925
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
BENZERPHARMACYATHENS LLC
Practice address
755 Lawrenceville Suwanee Rd Ste 1540
Lawrenceville, GA 30043-7344
Phone
(706) 510-4040
Fax
(706) 612-7072
NPI assigned
Mar 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Authorized official

Name
Sarita Sonani
Title
Managing Member
Phone
(706) 510-4040

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary
Mail Order Pharmacy 3336M0002X

Addresses

Primary practice location

755 Lawrenceville Suwanee Rd Ste 1540
Lawrenceville, GA 30043-7344

Mailing address

755 Lawrenceville Suwanee Rd Ste 1540
Lawrenceville, GA 30043-7344
Phone (706) 510-4040

Other identifiers 2

IdentifierTypeStateIssuer
003190046AMedicaidGA
2168279OtherPK

Other names 2

  • Benzer Pharmacy Doing business as
  • the pharmacy at piggly wiggly athens Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200929000253 GA Part B Supplier - Pharmacy 1658790464 Practice locations: Athens, GA

National Provider Directory

National Provider Directory

Locations

484 North Ave
Athens, GA 30601
Phone (706) 510-4040

755 Lawrenceville Suwanee Rd
Ste 1540
Lawrenceville, GA 30043
Phone (706) 510-4040

Practitioners & affiliated clinicians

Practitioners 2

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": "1489449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765929600000",
    "number": "1144761925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 LAWRENCEVILLE SUWANEE RD STE 1540",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300437344",
            "telephone_number": "706-510-4040",
            "fax_number": "706-612-7072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 LAWRENCEVILLE SUWANEE RD STE 1540",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300437344",
            "telephone_number": "706-510-4040",
            "fax_number": "706-612-7072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENZERPHARMACYATHENS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-14",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A",
        "authorized_official_last_name": "SONANI",
        "authorized_official_first_name": "SARITA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "706-510-4040"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003190046A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2168279",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Benzer Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "the pharmacy at piggly wiggly athens",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; 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.