Active NPI
S&K Healthcare LLC
- Community/Retail Pharmacy
- Lawrenceville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHRE009639
- Legal business name
- S&K HEALTHCARE LLC
- Practice address
- 1880 Braselton Hwy Ste 121
Lawrenceville, GA 30043-2877 - Phone
- (770) 338-1111
- Fax
- (770) 338-1120
- NPI assigned
- Feb 17, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sachin Kalaria
- Title
- Pharmacy Manager
- Phone
- (770) 338-1111
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PHRE009639 | GA | Primary |
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
1880 Braselton Hwy Ste 121
Lawrenceville, GA 30043-2877
Mailing address
1880 Braselton Hwy Ste 121
Lawrenceville, GA 30043-2877
Phone (770) 338-1111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2124125 | Other | PK |
Other names 1
- Gwinnett Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200831003340 | GA | Part B Supplier - Pharmacy | 7012334436 | Practice locations: Lawrenceville, GA |
National Provider Directory
National Provider Directory- Tax ID family
- Gwinnett Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Lawrenceville, GA
- NPI 1164909487
Locations
1880 Braselton Hwy
Ste 121
Lawrenceville, GA 30043
Phone (770) 338-1111
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Lawrenceville, GA
- NPI 1982889671
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266364800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1473984000000",
"number": "1184946196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1880 BRASELTON HWY STE 121",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300432877",
"telephone_number": "770-338-1111",
"fax_number": "770-338-1120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1880 BRASELTON HWY STE 121",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300432877",
"telephone_number": "770-338-1111",
"fax_number": "770-338-1120"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "S&K HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-17",
"last_updated": "2016-09-16",
"status": "A",
"authorized_official_last_name": "KALARIA",
"authorized_official_first_name": "SACHIN",
"authorized_official_title_or_position": "PHARMACY MANAGER",
"authorized_official_telephone_number": "770-338-1111"
},
"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": "PHRE009639",
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2124125",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Gwinnett Pharmacy",
"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 Sep 16, 2016; 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.