Organization Active NPI

Sahajanand Healthcare LLC

Doing business as Express Pharmacy

  • Community/Retail Pharmacy
  • Lawrenceville, GA
National Provider Identifier
1255749248
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHRE010056 Issued in GA
Legal business name
SAHAJANAND HEALTHCARE LLC
Doing business as
Express Pharmacy
Practice address
1960 Riverside Pkwy Ste 103
Lawrenceville, GA 30043-5945
Phone
(770) 864-5645
Fax
(770) 864-5650
NPI assigned
Jul 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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

Authorized official

Name
Virat Patel
Title
Owner
Phone
(551) 358-4242

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHRE010056 GA Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

1960 Riverside Pkwy Ste 103
Lawrenceville, GA 30043-5945

Mailing address

1960 Riverside Pkwy Ste 103
Lawrenceville, GA 30043-5945
Phone (770) 864-5645

Other identifiers 2

IdentifierTypeStateIssuer
003151036AMedicaidGA
2142837OtherPK

Other names 1

  • EXPRESS PHARMACY Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221103001988 GA Part B Supplier - Pharmacy 9537536511 Practice locations: Lawrenceville, GA

National Provider Directory

National Provider Directory
Tax ID family
Express Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3330 Peachtree Corners Cir
Ste G
Norcross, GA 30092

NPI Registry JSON

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

{
    "created_epoch": "1406073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664841600000",
    "number": "1255749248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1960 RIVERSIDE PKWY STE 103",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300435945",
            "telephone_number": "770-864-5645",
            "fax_number": "770-864-5650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1960 RIVERSIDE PKWY STE 103",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300435945",
            "telephone_number": "770-864-5645",
            "fax_number": "770-864-5650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAHAJANAND HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-23",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "VIRAT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "551-358-4242"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE010056",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003151036A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2142837",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EXPRESS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EXPRESS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 4, 2022; 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.