Organization Active NPI

Lawrenceville Community Pharmacy, Inc

  • Community/Retail Pharmacy
  • Lawrenceville, GA
National Provider Identifier
1235649716
Registry record updated Nov 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
LAWRENCEVILLE COMMUNITY PHARMACY, INC
Practice address
3157 Sugarloaf Pkwy Ste 103
Lawrenceville, GA 30045-9490
Phone
(919) 904-6668
NPI assigned
Oct 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2019

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

Authorized official

Name
Trephene Brown
Title
Owner
Phone
(919) 904-6668

Specialties & licenses 1

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

Addresses

Primary practice location

3157 Sugarloaf Pkwy Ste 103
Lawrenceville, GA 30045-9490

Mailing address

3157 Sugarloaf Pkwy Ste 103
Lawrenceville, GA 30045-9490
Phone (919) 904-6668

National Provider Directory

National Provider Directory

Locations

3157 Sugarloaf Pkwy
Ste 103
Lawrenceville, GA 30045
Phone (919) 904-6668

NPI Registry JSON

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

{
    "created_epoch": "1507593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573603200000",
    "number": "1235649716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3157 SUGARLOAF PKWY STE 103",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300459490",
            "telephone_number": "919-904-6668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3157 SUGARLOAF PKWY STE 103",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300459490",
            "telephone_number": "919-904-6668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCEVILLE COMMUNITY PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-10",
        "last_updated": "2019-11-13",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "TREPHENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-904-6668"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.