Organization Active NPI

Sunny Pharmacy

  • Community/Retail Pharmacy
  • Chamblee, GA
National Provider Identifier
1245863166
Registry record updated Nov 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SUNNY PHARMACY
Practice address
4897 Buford Hwy Ste 100
Chamblee, GA 30341-3667
Phone
(770) 676-7860
NPI assigned
Feb 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2021

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

Authorized official

Name
Yazmin Abarca
Title
Manager
Phone
(770) 676-7860

Specialties & licenses 2

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

Addresses

Primary practice location

4897 Buford Hwy Ste 100
Chamblee, GA 30341-3667

Mailing address

4897 Buford Hwy Ste 100
Chamblee, GA 30341-3667
Phone (770) 676-7860

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210129002519 GA Part B Supplier - Mass Immunization (Roster Biller Only) 2163836388 Practice locations: Chamblee, GA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

4897 Buford Hwy
Ste 100
Chamblee, GA 30341
Phone (404) 643-9088

NPI Registry JSON

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

{
    "created_epoch": "1582070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637280000000",
    "number": "1245863166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4897 BUFORD HWY STE 100",
            "city": "CHAMBLEE",
            "state": "GA",
            "postal_code": "303413667",
            "telephone_number": "770-676-7860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4897 BUFORD HWY STE 100",
            "city": "CHAMBLEE",
            "state": "GA",
            "postal_code": "303413667",
            "telephone_number": "770-676-7860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-19",
        "last_updated": "2021-11-19",
        "certification_date": "2021-09-08",
        "status": "A",
        "authorized_official_last_name": "ABARCA",
        "authorized_official_first_name": "YAZMIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "770-676-7860"
    },
    "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chamblee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2021; 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.