Active NPI
Benny Cyriac
- Pharmacist
- Covington, GA
National Provider Identifier
1245834480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH023375
- Practice address
- 4183 Highway 278 NE
Covington, GA 30014-2400 - Phone
- (770) 385-5282
- NPI assigned
- Nov 29, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH023375 | GA | Primary |
Addresses
Primary practice location
4183 Highway 278 NE
Covington, GA 30014-2400
Mailing address
2608 Britt Trail Dr
Lawrenceville, GA 30045-3704
Phone (678) 447-8008
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH023375 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia CVS Pharmacy, L.L.C. | Past | Accepting new patients | |
| Georgia CVS Pharmacy L.L.C | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606608000000",
"number": "1245834480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2608 BRITT TRAIL DR",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300453704",
"telephone_number": "678-447-8008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4183 HIGHWAY 278 NE",
"city": "COVINGTON",
"state": "GA",
"postal_code": "300142400",
"telephone_number": "770-385-5282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CYRIAC",
"first_name": "BENNY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-11-29",
"last_updated": "2020-11-29",
"certification_date": "2020-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH023375",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Covington, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.