Active NPI
Sahajanand Healthcare LLC
Doing business as Express Pharmacy
- Community/Retail Pharmacy
- Lawrenceville, GA
National Provider Identifier
1255749248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHRE010056
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003151036A | Medicaid | GA | |
| 2142837 | Other | PK |
Other names 1
- EXPRESS PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221103001988 | GA | Part B Supplier - Pharmacy | 9537536511 | Practice locations: Lawrenceville, GA |
National Provider Directory
National Provider Directory- Tax ID family
- Express Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Lawrenceville, GA
- NPI 1295676583
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.