Organization Active NPI

Sip Investments LLC

Doing business as Healthmart Pharmacy of Johns Creek

  • Community/Retail Pharmacy
  • Alpharetta, GA
National Provider Identifier
1255645669
Registry record updated Apr 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
114322 Issued in AL
Legal business name
SIP INVESTMENTS LLC
Doing business as
Healthmart Pharmacy of Johns Creek
Practice address
6375 McGinnis Ferry Rd Ste 102
Alpharetta, GA 30005-3669
Phone
(678) 869-6000
Fax
(678) 869-6002
NPI assigned
Jul 28, 2010
Last updated
Apr 3, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2014

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

Authorized official

Name
Vimal Parag
Title
President
Phone
(678) 756-0165

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 114322 AL Primary
Compounding Pharmacy 3336C0004X PHRE009662 GA

Addresses

Primary practice location

6375 McGinnis Ferry Rd Ste 102
Alpharetta, GA 30005-3669

Mailing address

6375 McGinnis Ferry Rd
Suite 102
Alpharetta, GA 30005-3617
Phone (678) 869-6000

Other identifiers 2

IdentifierTypeStateIssuer
2125987OtherPK
224191401AMedicaidGA

Other names 1

  • Healthmart Pharmacy of Johns Creek Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1280275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396483200000",
    "number": "1255645669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6375 MCGINNIS FERRY RD",
            "address_2": "SUITE 102",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300053617",
            "telephone_number": "678-869-6000",
            "fax_number": "678-869-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6375 MCGINNIS FERRY RD STE 102",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300053669",
            "telephone_number": "678-869-6000",
            "fax_number": "678-869-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIP INVESTMENTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-28",
        "last_updated": "2014-04-03",
        "status": "A",
        "authorized_official_last_name": "PARAG",
        "authorized_official_first_name": "VIMAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-756-0165"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "114322",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "GA",
            "license": "PHRE009662",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2125987",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "224191401A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthmart Pharmacy of Johns Creek",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2014; 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.