Organization Active NPI

S&K Healthcare LLC

  • Community/Retail Pharmacy
  • Lawrenceville, GA
National Provider Identifier
1184946196
Registry record updated Sep 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHRE009639 Issued in GA
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

Updated by the provider on Sep 16, 2016

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

Authorized official

Name
Sachin KalariaNPI 1982889671
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2124125OtherPK

Other names 1

  • Gwinnett Pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200831003340 GA Part B Supplier - Pharmacy 7012334436 Practice locations: Lawrenceville, GA

National Provider Directory

National Provider Directory
Tax ID family
Gwinnett Pharmacy2 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.

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.

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.

Verify at the official NPI Registry.