Active NPI
Sip Investments LLC
Doing business as Healthmart Pharmacy of Johns Creek
- Community/Retail Pharmacy
- Alpharetta, GA
National Provider Identifier
1255645669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 114322
- 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, 2014
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2125987 | Other | PK | |
| 224191401A | Medicaid | GA |
Other names 1
- Healthmart Pharmacy of Johns Creek
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Pharmacist
- Johns Creek, GA
- NPI 1013772797
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.