Organization Active NPI

Lo Cost Healthcare, LLC

  • Community/Retail Pharmacy
  • Savannah, GA
National Provider Identifier
1174616890
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
LO COST HEALTHCARE, LLC
Practice address
612 E 69TH St
Savannah, GA 31405-4714
Phone
(912) 352-0375
Fax
(912) 356-9609
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Authorized official

Name
Vishal Patel, PHARMDNPI 1770987141
Title
President
Phone
(912) 352-0375

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

612 E 69TH St
Savannah, GA 31405-4714

Mailing address

612 E 69TH St
Savannah, GA 31405-4714
Phone (912) 352-0375

Other identifiers 3

IdentifierTypeStateIssuer
2012776OtherPK
PHRE011051OtherGAPHARMACY LICENSE
00135759AMedicaidGA

Other names 1

  • LO COST PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200421001614 GA Part B Supplier - Mass Immunization (Roster Biller Only) 0143657007 Practice locations: Savannah, GA
O20221026000599 GA Part B Supplier - Pharmacy 0042686461 Practice locations: Savannah, GA

National Provider Directory

National Provider Directory
Tax ID family
Lo Cost Drug Company Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1174616890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 E 69TH ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054714",
            "telephone_number": "912-352-0375",
            "fax_number": "912-356-9609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 E 69TH ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054714",
            "telephone_number": "912-352-0375",
            "fax_number": "912-356-9609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LO COST HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "VISHAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "912-352-0375",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2012776",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "PHRE011051",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00135759A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LO COST PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LO COST PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.